Bill113th Congress

H.R. 1250

Medicare Audit Improvement Act of 2013

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Introduced
Mar 19, 2013
Origin Chamber
House
Policy Area
Health
Latest Action
Apr 22, 2013

Sponsor

Rep. Graves, Sam [R-MO-6]

Republican·MO-6
Bioguide ID: G000546
First Name: SAM
Last Name: GRAVES
By Request: N
233
Cosponsors
2
Committees
6
Actions
0
Amendments
1
Related Bills
16
Subjects
1
Summaries
3
Titles
1
Text Versions

Bill Details

Update Date
Nov 15, 2022
Origin Chamber
House
Bill Type
HR
Bill Number
1,250
Congress
113
Introduced Date
Mar 19, 2013
Policy Area
Health
Is Law
No
Apr 22, 2013Committee

Referred to the Subcommittee on Health.

Source: House committee actions

Mar 22, 2013Committee

Referred to the Subcommittee on Health.

Source: House committee actions

Mar 19, 2013IntroReferralH11100

Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Source: House floor actions

Mar 19, 2013IntroReferralH11100

Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Source: House floor actions

Mar 19, 2013IntroReferralIntro-H

Introduced in House

Source: Library of Congress

Mar 19, 2013IntroReferral1000

Introduced in House

Source: Library of Congress

Introduced in House· Mar 19, 20130

Medicare Audit Improvement Act of 2013 - Directs the Secretary of Health and Human Services (HHS) to establish a process which subjects to a single, combined maximum annual limit, applied incrementally, the number of additional documentation requests made to a hospital by Medicare administrative contractors, recovery audit contractors, or Comprehensive Error Rate Testing (CERT) program contractors pursuant to prepayment and postpayment audits requiring a hospital to submit a medical record for audit purposes.

Directs the Secretary also to establish a distinct additional documentation request limit, computed according to a specified formula, for each hospital claim type for each hospital for a 45-day period in a year.

Amends title XVIII (Medicare) of the Social Security Act with respect to the Medicare Integrity Program and use of recovery audit contractors.

Requires the Secretary to ensure that recovery audit contracts include certain mandatory terms and conditions pertaining to: (1) penalties for certain compliance failures, (2) penalties for overturned appeals, (3) postpayment and prepayment audits, and (4) guidelines for prepayment review.

Directs the Secretary to publish on the Internet website of the Centers for Medicare & Medicaid Services information on recovery audit contractor performance regarding: (1) audit rates, denials, and appeals outcomes; and (2) independent performance evaluations.

Deems to be an original claim for Medicare part B (Supplementary Medical Insurance) payment a resubmitted hospital claim for Medicare part A payment for inpatient hospital services which a recovery audit contractor determines: (1) were not medically necessary and reasonable based on the site of service, but (2) would be medically necessary and reasonable in an outpatient setting of the hospital. Requires payment to be made for such a resubmitted claim for all furnished items and services for which payment may be made under Medicare part B.

Deems to be a reopened claim, for purposes of a hospital's ability to resubmit a claim for Medicare payment in timely fashion, any claim that is the subject of an audit by a recovery audit contractor or a Medicare administrative contractor.

Requires contracts for a recovery audit contractor to require that a physician review each denial of a claim for medical necessity made by an employee of the contractor who is not a physician.

Subjects to administrative and judicial review the Secretary's compliance with guidelines for reopening and revising benefit determinations.

Ways and Means Committee

House· Standing

Energy and Commerce Committee

House· Standing
Accounting and auditingAdministrative law and regulatory proceduresAdministrative remediesDepartment of Health and Human ServicesGovernment information and archivesHealth facilities and institutionsHealth personnelHome and outpatient careHospital careJudicial review and appealsLegal fees and court costsLong-term, rehabilitative, and terminal careMedicareNursingPerformance measurementPublic contracts and procurement

Introduced in House

Mar 19, 2013

Medicare Audit Improvement Act of 2013 — Informed