Index for HR3962: Affordable Health Care for America Act
DIVISION B — MEDICARE AND MEDICAID IMPROVEMENTS.
TITLE VI — PROGRAM INTEGRITY.
SUBTITLE C — ENHANCED PROGRAM AND PROVIDER PROTECTIONS.
SEC 1638. — REQUIREMENT FOR PHYSICIANS TO PROVIDE DOCUMENTATION ON REFERRALS TO PROGRAMS AT HIGH RISK OF WASTE AND ABUSE.
Table Of Contents of the INDEX
Automated Concept:
CERTIFICATIONS for home health services or referrals for other items or servicing written or ordered by physician or supplier under title as specified by Secretary ; Physician or supplier under section 1866(j) if physician or supplier failing to maintain and provide access to documentation relating to written orders or requests for payment for durable medical equipment,
Index of Sec 1638. ...Automated Concept:
CERTIFICATIONS for home health services or referrals for other items or servicing written or ordered by provider under title as specified by Secretary ; Maintaining and providing access to documentation relating to written orders or requests for payment for durable medical equipment,
Index of Sec 1638. ...Automated Concept:
CERTIFICATIONS and referrals making after January 1 ; Amendments making by section applying to orders,
Index of Sec 1638. ...Automated Concept:
DOCUMENTATION on Referrals to Programs at high Risk of wasting and abusing ; Sec 1638, requirement for Physicians to provide
Index of Sec 1638. ...Automated Concept:
CERTIFICATIONS for home health services or referrals for other items or servicing written or ordered by physician or supplier under title as specified by Secretary ; Physician or supplier under section 1866(j) if physician or supplier failing to maintain and provide access to documentation relating to written orders or requests for payment for durable medical equipment,
Index of Sec 1638. ...Automated Concept:
CERTIFICATIONS for home health services or referrals for other items or servicing written or ordered by provider under title as specified by Secretary ; Maintaining and providing access to documentation relating to written orders or requests for payment for durable medical equipment,
Index of Sec 1638. ...Automated Concept:
CERTIFICATIONS for home health services or referrals for other items or servicing written or ordered by physician or supplier under title as specified by Secretary ; Physician or supplier under section 1866(j) if physician or supplier failing to maintain and provide access to documentation relating to written orders or requests for payment for durable medical equipment,
Index of Sec 1638. ...Automated Concept:
CERTIFICATIONS for home health services or referrals for other items or servicing written or ordered by provider under title as specified by Secretary ; Maintaining and providing access to documentation relating to written orders or requests for payment for durable medical equipment,
Index of Sec 1638. ...Automated Concept:
HEALTH services or referrals for other items or servicing written or ordered by physician or supplier under title as specified by Secretary ; Physician or supplier under section 1866(j) if physician or supplier failing to maintain and provide access to documentation relating to written orders or requests for payment for durable medical equipment, certifications for home
Index of Sec 1638. ...Automated Concept:
HEALTH services or referrals for other items or servicing written or ordered by provider under title as specified by Secretary ; Maintaining and providing access to documentation relating to written orders or requests for payment for durable medical equipment, certifications for home
Index of Sec 1638. ...Automated Concept:
CERTIFICATIONS for home health services or referrals for other items or servicing written or ordered by physician or supplier under title as specified by Secretary ; Physician or supplier under section 1866(j) if physician or supplier failing to maintain and provide access to documentation relating to written orders or requests for payment for durable medical equipment,
Index of Sec 1638. ...Automated Concept:
CERTIFICATIONS for home health services or referrals for other items or servicing written or ordered by provider under title as specified by Secretary ; Maintaining and providing access to documentation relating to written orders or requests for payment for durable medical equipment,
Index of Sec 1638. ...Automated Concept:
TITLE as specified by Secretary ; Physician or supplier under section 1866(j) if physician or supplier failing to maintain and provide access to documentation relating to written orders or requests for payment for durable medical equipment, certifications for home health services or referrals for other items or servicing written or ordered by physician or supplier under
Index of Sec 1638. ...Automated Concept:
TITLE as specified by Secretary ; Maintaining and providing access to documentation relating to written orders or requests for payment for durable medical equipment, certifications for home health services or referrals for other items or servicing written or ordered by provider under
Index of Sec 1638. ...The Index is © 2009 healthcarebillindex.com
1st Session |
To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.
Mr. Dingell (for himself, Mr. Rangel, Mr. Waxman, Mr. George Miller of California, Mr. Stark, Mr. Pallone, and Mr. Andrews) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Labor, Oversight and Government Reform, and the Budget, 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
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
(a) Physicians and other suppliers.—Section 1842(h) of the Social Security Act is further amended by adding at the end the following new paragraph
“(9) The Secretary may disenroll, for a period of not more than one year for each act, a physician or supplier under section 1866(j) if such physician or supplier fails to maintain and, upon request of the Secretary, provide access to documentation relating to written orders or requests for payment for durable medical equipment, certifications for home health services, or referrals for other items or services written or ordered by such physician or supplier under this title, as specified by the Secretary.”.
(b) Providers of services.—Section 1866(a)(1) of such Act (42 U.S.C. 1395cc), is amended—
(1) in subparagraph (U), by striking at the end “and”;
(2) in subparagraph (V), by striking the period at the end and adding “; and”; and
(3) by adding at the end the following new subparagraph:
“(W) maintain and, upon request of the Secretary, provide access to documentation relating to written orders or requests for payment for durable medical equipment, certifications for home health services, or referrals for other items or services written or ordered by the provider under this title, as specified by the Secretary.”.
(c) OIG permissive exclusion authority.—Section 1128(b)(11) of the Social Security Act (42 U.S.C. 1320a–7(b)(11)) is amended by inserting “, ordering, referring for furnishing, or certifying the need for” after “furnishing”.
(d) Effective date.—The amendments made by this section shall apply to orders, certifications, and referrals made on or after January 1, 2010.
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