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H.R. 2156 · 114th Congress

Medicare Audit Improvement Act of 2015

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Never voted on. It didn't reach a floor vote before the 114th Congress ended, so it expired. A bill has to be introduced again to be considered in a new Congress.

SGR GravesSponsor
87 cosponsors · 36 D, 51 R
MBR Bost RCR Crawford ASD Schiff AWR Wagner GHR Harper TMR MacArthur RDR Davis MLD Lujan Grisham TRR Rokita STR Tipton BFR Farenthold THR Huelskamp SID Israel BLR Luetkemeyer ALD Lowenthal LSD Slaughter RHR Hanna MQD Quigley JBD Brownley PKR King ZLD Lofgren MPR Pompeo NTD Torres RAR Aderholt RBR Blum GGR Grothman BLR Long CPD Peterson JCD Chu RRR Ribble TSD Sewell BJR Johnson JKR Katko CLR Lummis TWR Walberg CMR Miller ABD Bera BGR Goodlatte SPD Peters RHD Hinojosa ESD Swalwell BMD McCollum KRD Rice CGR Gibson SKR King MVD Veasey BWR Westerman TGD Gabbard RFR Frelinghuysen LBR Barletta ASD Sires HGR Griffith LMR Messer CDR Dent CPD Pingree AED Eshoo GGD Graham RHR Hultgren LZR Zeldin KSD Sinema DND Norcross CSR Smith DYR Young RZR Zinke LBR Bucshon PVD Visclosky TRR Rice FLR LoBiondo BLD Luján JGD Garamendi KCR Conaway AKD Kirkpatrick BBR Babin DKD Kildee RWR Williams KYR Yoder DLD Loebsack JRR Ratcliffe JFR Forbes JLD Langevin PAD Aguilar RBD Brady BBR Byrne MTD Takano WHR Hurd KCR Calvert MCR Coffman

4 signed on when it was introduced; the rest joined later. Cosponsors who withdrew aren't shown.

This bill amends title XVIII (Medicare) of the Social Security Act (SSAct) with respect to the practices of recovery audit contractors (RACs) under the Medicare program fin identifying underpayments and overpayments and recouping overpayments.

What it does: CRS summary · Introduced in House · Apr 30, 2015

Medicare Audit Improvement Act of 2015

This bill amends title XVIII (Medicare) of the Social Security Act (SSAct) with respect to the practices of recovery audit contractors (RACs) under the Medicare program fin identifying underpayments and overpayments and recouping overpayments.

Incentive payments to a RAC for recovery activities are prohibited for FY2015 and subsequent fiscal years.

Payments for recovery activities shall be reduced, according to a sliding scale established by the Secretary of Health and Human Services, to any RAC with a complex audit denial rate at the end of a fiscal year, determined pursuant to a specified formula, that is .1% or greater.

The one-year timely filing limit for certain rebilled SSAct title XVIII part B (Supplementary Medical Insurance) claims is eliminated, extending the deadline for the rebill to 180 days after final denial of the claim.

A determination of whether inpatient hospital services or inpatient critical access hospital services furnished to an individual are reasonable and necessary shall now be based solely on information available to the admitting physician at the time of the inpatient admission of the individual for such services, as documented in the medical record.

Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov

About this bill and sources

Official title: Medicare Audit Improvement Act of 2015

Latest action (May 18, 2015): Referred to the Subcommittee on Health.

Policy area: Health · Origin: House · Introduced: Apr 30, 2015

Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)

No recorded floor vote found.