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Preventing Hospital Overbilling of Medicare Act

This act aims to prevent hospitals from overbilling, especially for services provided at off-campus locations. It introduces changes to ensure hospitals bill services more transparently and fairly, potentially leading to lower costs for patients using Medicare and other health insurance.
Key points
Hospitals will need to use separate identification numbers for their off-campus facilities, making billing tracking and control easier.
The act aims to standardize payment rates for the same services, regardless of whether they are provided at a hospital or an off-campus facility, potentially reducing patient costs.
Health insurers will be able to reject claims that are not properly billed by off-campus hospital departments, protecting patients from unjustified charges.
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Additional Information
Preventing Hospital Overbilling of Medicare Act
Print number: HR 2863
Sponsor: Rep. Spartz, Victoria [R-IN-5]
Process start date: 2023-04-25