HR 27 · 111th Congress · Health
Medicare Fraud Prevention and Enforcement Act of 2009
Bill Progress
✓
Introduced2
Committee3
House Vote4
Senate5
EnactedLatest: Referred to the Subcommittee on Crime, Terrorism, and Homeland Security.(2009-02-09)
Plain Language Summary
[AI summary unavailable — showing source text]
Medicare Fraud Prevention and Enforcement Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services (HHS) to conduct an additional site inspection for each applicable items or services provider that applies for a provider number. Sets forth rules for the Secretary to conduct a background check on any individual or entity that applies for a Medicare provider number. Directs the Secretary to establish procedures for the registration of all applicant billing agencies and individuals. Requires the Secretary to assign a unique identification number to each registered agency and individual, which must appear on every claim for Medicare reimbursement. Amends SSA title XI to allow the Secretary to exclude from participation in any federal health care program any billing agency or individual that knowingly submitted or caused to be submitted a claim for Medicare reimbursement that it knows or should know is false or fraudulent. Requires that the information in the health integrity protection database (HIPDB) to be available to certain health care providers, suppliers, or practitioners as well as utilization and quality contro…
Summarized by Claude AI · Non-partisan · For informational purposes only