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HR3962 - Division B - Medicare and Medicaid Improvements
Subtitle F - Waste, Fraud, and Abuse
Sec. 1751 - Health care acquired conditions
Sec. 1752 - Evaluations and reports required under Medicaid Integrity Program
Sec. 1753 - Require providers and suppliers to adopt programs to reduce waste, fraud, and abuse
Sec. 1754 - Overpayments
Sec. 1755 - Managed care organizations
Sec. 1756 - Termination of provider participation under Medicaid and CHIP if terminated under Medicare or other State plan or child health plan
Sec. 1757 - Medicaid and CHIP exclusion from participation relating to certain ownership, control and management affiliations
Sec. 1758 - Requirement to report expanded set of data elements under MMIS to detect fraud and abuse
Sec. 1759 - Billing agents, clearinghouses, or other alternate payees required to register under Medicaid
Sec. 1760 - Denial of payments for litigation-related misconduct
Sec. 1761 - Mandatory State use of national correct coding initiative
Frequently Asked Questions
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Subtitle F - Waste, Fraud, and Abuse
Sec. 1751 - Health care acquired conditions
Sec. 1752 - Evaluations and reports required under Medicaid Integrity Program
Sec. 1753 - Require providers and suppliers to adopt programs to reduce waste, fraud, and abuse
Sec. 1754 - Overpayments
Sec. 1755 - Managed care organizations
Sec. 1756 - Termination of provider participation under Medicaid and CHIP if terminated under Medicare or other State plan or child health plan
Sec. 1757 - Medicaid and CHIP exclusion from participation relating to certain ownership, control and management affiliations
Sec. 1758 - Requirement to report expanded set of data elements under MMIS to detect fraud and abuse
Sec. 1759 - Billing agents, clearinghouses, or other alternate payees required to register under Medicaid
Sec. 1760 - Denial of payments for litigation-related misconduct
Sec. 1761 - Mandatory State use of national correct coding initiative
Frequently Asked Questions
Download PDF Version
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