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Code · BILL · 113th Congress · H.R. 5780 (Introduced in House) — To amend title XVIII of the Social Security Act to improve the integrity of the Medicare program, and for other purpo... · Sec. 3

Sec. 3. Preventing wrongful Medicare payments for items and services furnished to incarcerated individuals, individuals not lawfully present, and deceased individuals

186 words·~1 min read·/bill/113/hr/5780/ih/section-3

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Section 1874 of the Social Security Act ( 42 U.S.C. 1395kk ) is amended by adding at the end the following new subsection: The Secretary shall establish and maintain procedures, including procedures for using claims processing edits, updating eligibility information to improve provider accessibility, and conducting recoupment activities such as through recovery audit contractors, in order to ensure that payment is not made under this title for items and services furnished to an individual who is one of the following:
An individual who is incarcerated. An individual who is not lawfully present in the United States and who is not eligible for coverage under this title. A deceased individual. . Not later than 18 months after the date of the enactment of this section, and periodically thereafter as determined necessary by the Office of Inspector General of the Department of Health and Human Services, such Office shall submit to Congress a report on the activities described in subsection
(f)of section 1874 of the Social Security Act ( 42 U.S.C. 1395kk ), as added by subparagraph (a), that have been conducted since such date of enactment.
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Sec. 3
Preventing wrongful Medicare payments for items and services furnished to incarcerated individuals, individuals not lawfully present, and deceased individuals
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