Oversight of Medicare Billing Code Cost Act
Oversight of Medicare Billing Code Cost Act
Plain Language Summary
# Oversight of Medicare Billing Code Cost Act (HR 3580) Summary **What the Bill Would Do** This bill aims to increase transparency and oversight of how Medicare's billing codes are created and managed. It requires two main actions: (1) the HHS Inspector General must study and report on the current processes for adding, modifying, and removing billing codes used by Medicare, and (2) the Centers for Medicare & Medicaid Services must publish an annual public list on its website showing which new billing codes were added the previous year, along with how often they were used and how much Medicare spent on them. **Who It Affects** The bill primarily affects Medicare—the federal health insurance program for seniors and some disabled people—and the agencies that manage it. Indirectly, it could impact healthcare providers who bill Medicare and taxpayers funding the program, though the bill itself doesn't change any payments or coverage. **Current Status** The bill was introduced by Rep.
Juan Ciscomani (R-AZ) in the 119th Congress and is currently under review in committee. It has not yet been voted on or passed. The bill is essentially a transparency and oversight measure rather than one that would change existing Medicare benefits or payments.
CRS Official Summary
Oversight of Medicare Billing Code Cost ActThis bill requires the Office of the Inspector General of the Department of Health and Human Services to report on the processes for adding, modifying, and removing billing codes under Medicare. The report must include recommendations for administrative and legislative changes that may improve the transparency and oversight of these processes.In addition, the Centers for Medicare & Medicaid Services must annually publish on its website a list of billing codes that were added under Medicare during the previous year, as well as the associated volume and expenditures for such codes.
Latest Action
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.