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H.R. 412

To limit medicare denials by peer review organizations of medically necessary inpatient hospital services.

Prohibits the Secretary of Health and Human Services or a peer review organization from denying Medicare payments (under title XVIII of the Social Security Act) for inpatient hospital services on the basis that the services were not reasonable and medically necessary, if a physician has certified the services as reasonable and medically necessary and has not established a clear pattern of making faulty certifications.

Referred to the Subcommittee on Health and the Environment.

Rep. Quillen, James H. (Jimmy) [R-TN-1](R-TN)Sponsor
1 cosponsor1 R
1cosponsors2committees6actions5subjects
  1. CommitteeH11000

    Referred to the Subcommittee on Health and the Environment.

    Health and Environment Subcommittee
  2. CommitteeH11000

    Referred to the Subcommittee on Health.

    Health Subcommittee
  3. IntroReferralH11100

    Referred to the House Committee on Ways and Means.

    Ways and Means Committee
  4. IntroReferralH11100

    Referred to the House Committee on Energy and Commerce.

    Energy and Commerce Committee
  5. IntroReferralIntro-H

    Introduced in House

  6. IntroReferral1000

    Introduced in House