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Hospital Billing Transparency: Ending Overcharges from Off-Campus Departments.

This act aims to prevent hospitals from overcharging for services provided at off-campus outpatient departments. By requiring separate identifiers and standardizing billing practices, citizens can expect greater transparency and potentially lower healthcare costs, as hospitals will no longer be able to charge higher rates for the same services.
Key points
Hospitals must use separate identifiers for off-campus outpatient departments, improving billing oversight.
Exceptions allowing higher charges for services at off-campus locations will be removed, potentially lowering patient costs.
Health insurers will be able to reject claims that do not comply with the new transparent billing requirements.
These changes are set to take effect on January 1, 2023, impacting how medical services are billed.
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Additional Information
Print number: 117_HR_8133
Sponsor: Rep. Spartz, Victoria [R-IN-5]
Process start date: 2022-06-16