Tuesday, December 9, 2014

Medicare Anti-Fraud Legislation Introduced in House

Drew Thies 

House Ways & Means chair Kevin Brady (R, TX) and ranking member Jim McDermott (D, WA) introduced the “Protecting the Integrity of Medicare Act,” a wide-ranging bill which seeks to limit Medicare and Social Security fraud.

The bill, introduced December 2, was released in draft for by Rep. Brady in August and contains a number of provisions, including modifying Medicare cards, setting up outreach and education efforts for contractors, renewal of MAC contracts, preventing prescription drug abuse under Medicare Part D, modification of home health surety bonds, and expanding the Comprehensive Error Rate Testing (CERT) program. 

The bill, while bipartisan, is not without its critics. Even Rep. McDermott has expressed some concern. “Although I continue to have reservations regarding certain provisions, I have agreed to join in this effort because I believe that the American people deserve a collaborative approach to this nonpartisan issue,” he said in a statement.

It is unlikely the bill will move until Congress returns for a new session in January. AHCA will continue to monitor the bill’s status as we progress into 2015.

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