Medicare Compliance & Reimbursement

The following bills were introduced in the House: HR 5393. A bill to amend title XVIII of the Social Security Act to provide incentives linking quality to payment for skilled nursing facilities and to establish a Long-Term Care Financing Commission. Introduced Nov. 19 by Rep. Philip English (R-PA), referred to the Committee on Ways and Means and the Committee on Energy and Commerce. HR 5399. A bill to provide for reimbursement of enrollees in the Medicare PPO demonstration project for expenses inappropriately incurred in being provided coverage through out-of-network providers. Introduced Nov. 19 by Rep. Benjamin Cardin (D-MD), referred to the Committee on Ways and Means and the Committee on Energy and Commerce. HR 5403. A bill to amend title XVIII of the Social Security Act to improve the quality of care in skilled nursing facilities under the Medicare program through development of quality measures and changes in reimbursement. Introduced Nov. 19 by Rep. Marcy Kaptur (D-OH), referred to the Committee on Ways and Means and the Committee on Energy and Commerce. HR 5415. A bill to amend title XVIII of the Social Security Act to provide payments to Medicare ambulance suppliers of the full cost of furnishing such services, to provide payments to rural ambulance providers and suppliers to account for the cost of serving areas with low population density. Introduced Nov. 19 by Rep. Thomas Reynolds (R-NY), referred to the Committee on Energy and Commerce and the Committee on Ways and Means. The following bills were introduced in the Senate: S 2983. A bill to establish hospice demonstration projects and a hospice grant program for beneficiaries under the Medicare program under title XVIII of the Social Security Act. Introduced Nov. 16 by Sen. Ron Wyden (D-OR), referred to the Committee on Finance. S 2988. A bill to amend title XVIII of the Social Security Act to provide Medicare beneficiaries with access to information concerning the quality of care provided by skilled nursing facilities and to provide incentives to skilled nursing facilities to improve the quality of care provided by those facilities by linking the amount of payment under the Medicare program to quality reporting and performance requirements. Introduced Nov. 17 by Sen. Ron Wyden (D-OR), referred to the Committee on Finance.