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Medicare Fraud Detection and Deterrence Act

This act aims to strengthen efforts against fraud and waste in healthcare programs like Medicare. It introduces new rules for healthcare provider identifiers and requires Medicare Advantage plans to submit complete service data. This is intended to improve spending oversight and protect taxpayer money.
Key points
Automatic deactivation of identifiers for healthcare providers excluded from federal programs due to fraud.
Requirement for Medicare Advantage plans to include ordering provider identifiers for specific services, such as medical equipment or lab tests.
Introduction of a special modifier for telehealth services provided by doctors working with telehealth companies that do not offer in-person services.
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Additional Information
Medicare Fraud Detection and Deterrence Act of 2023
Print number: HR 1745
Sponsor: Rep. Doggett, Lloyd [D-TX-37]
Process start date: 2023-03-23