3.0.0 315 2023-01-11T13:20:59Z 2023-01-11T13:20:59Z House H HR 2011-01-18 112 From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. THORNBERRY:H.R. 315.Congress has the power to enact this legislation pursuantto the following:This bill is enacted pursuant to the power granted toCongress under Article I, Section 8 of the United StatesConstitution.[Page H256]]]> hsif00 Energy and Commerce Committee House Standing hsif14 Health Subcommittee Referred to 2011-02-01T21:38:22Z Referred to 2011-01-18T19:02:40Z hswm00 Ways and Means Committee House Standing hswm04 Trade Subcommittee Referred to 2011-01-25T18:41:25Z Referred to 2011-01-18T19:02:45Z 2011-02-01 hsif14 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2011-01-25 hswm04 Trade Subcommittee 1 House committee actions Referred to the Subcommittee on Trade. Committee 2011-01-18 Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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. IntroReferral H11100 2 House floor actions hswm00 Ways and Means Committee 2011-01-18 Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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. IntroReferral H11100 2 House floor actions hsif00 Energy and Commerce Committee 2011-01-18 Introduced in House IntroReferral Intro-H 9 Library of Congress 2011-01-18 Introduced in House IntroReferral 1000 9 Library of Congress T000238 Rep. Thornberry, Mac [R-TX-13] WILLIAM THORNBERRY R TX M. 13 N Health Administrative law and regulatory procedures Administrative remedies Department of Health and Human Services Government information and archives Health information and medical records Health personnel Health programs administration and funding Medicare Right of privacy Health 00 2011-01-18 Introduced in House 2011-02-10T15:55:34Z Health Care Paperwork Reduction and Fraud Prevention Act - Establishes the Commission on Health Care Billing Codes and Forms Simplification which shall make recommendations regarding: (1) standardizing and simplifying credentialing and billing forms for health care claims; (2) reducing and simplifying billing codes; (3) reforming the Medicare regulatory and appeals processes to ensure that the Secretary of Health and Human Services provides appropriate guidance to providers for submitting Medicare claims and does not target inadvertent billing errors; and (4) updating electronic forms of the Centers for Medicare & Medicaid Services to ensure simplicity and privacy.

Directs the Secretary of Health and Human Services to establish a process under which a physician may request from a carrier written assistance in addressing questionable codes and procedures under the Medicare program.

Prohibits the Administrator from implementing any new evaluation and management (E&M) guidelines under the Medicare program unless the Administrator: (1) has provided for an assessment of the proposed guidelines by physicians; (2) has established a plan that contains specific goals, including a schedule for improving participation of physicians in such assessment; (3) has carried out a minimum of four pilot projects in at least four different regions to test E&M guidelines; and (4) finds that specified objectives will be met in the implementation of such guidelines.

Sets forth provisions concerning: (1) physician participation and pilot program testing requirements and objectives for new E&M guidelines under Medicare; and (2) notice, administrative, and penalty requirements with respect to Medicare overpayments.

]]> Health Care Paperwork Reduction and Fraud Prevention Act Display Title Health Care Paperwork Reduction and Fraud Prevention Act Official Title as Introduced To reduce the amount of paperwork and improve payment policies for health care services, to prevent fraud and abuse through health care provider education, and for other purposes. Introduced in House IH Short Titles as Introduced Health Care Paperwork Reduction and Fraud Prevention Act Introduced in House 2011-01-18T05:00:00Z https://www.govinfo.gov/content/pkg/BILLS-112hr315ih/xml/BILLS-112hr315ih.xml 2011-02-01 Referred to the Subcommittee on Health. text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.