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Code · BILL · 113th Congress · H.R. 4302 (Enrolled) — To amend the Social Security Act to extend Medicare payments to physicians and other provisions of the Medicare and M... · Sec. 111

Sec. 111. Extension of two-midnight rule

152 words·~1 min read·/bill/113/hr/4302/enr/section-111·

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The Secretary of Health and Human Services may continue medical review activities described in the notice entitled Selecting Hospital Claims for Patient Status Reviews: Admissions On or After October 1, 2013 , posted on the Internet website of the Centers for Medicare & Medicaid Services, through the first 6 months of fiscal year 2015 for such additional hospital claims as the Secretary determines appropriate. The Secretary of Health and Human Services shall not conduct patient status reviews (as described in such notice) on a post-payment review basis through recovery audit contractors under section 1893(h) of the Social Security Act ( 42 U.S.C. 1395ddd(h) ) for inpatient claims with dates of admission October 1, 2013, through March 31, 2015, unless there is evidence of systematic gaming, fraud, abuse, or delays in the provision of care by a provider of services (as defined in section 1861(u) of such Act ( 42 U.S.C. 1395x(u) )).
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Sec. 111
Extension of two-midnight rule
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