National Health Care Anti-Fraud and Abuse Act of 1993

Summary

TABLE OF CONTENTS: Title I: All-Payer Fraud and Abuse Program Title II: Revisions to Current Sanctions for Fraud and Abuse Title III: Administrative and Miscellaneous Provisions National Health Care Anti-Fraud and Abuse Act of 1993 - Title I: All-Payer Fraud and Abuse Program - Requires the Secretary of Health and Human Services to establish a national program to control health care fraud and abuse and facilitate Federal, State, and local enforcement of Medicare and Medicaid (titles XVIII and XIX of the Social Security Act (SSA)) fraud and abuse programs. Creates in the Treasury the Anti-Fraud and Abuse Trust Fund. Authorizes appropriations. Amends SSA title XI to provide for the application of sanctions under the Medicare and Medicaid fraud and abuse programs for specified violations to similar violations by any health benefit plan. Requires the Secretary to establish a program through which Medicare beneficiaries may report allegations of fraud by providers under Medicare. Requires the annual notice of benefits mailed to Medicare beneficiaries to contain a description of such programs. Title II: Revisions to Current Sanctions for Fraud and Abuse - Makes revisions in specified current sanctions for fraud and abuse under Medicare and Medicaid and transfers certain of them for application under the new national program created above. Title III: Administrative and Miscellaneous Provisions - Requires providers to submit claims in a uniform claims format according to standards prescribed by the Secretary. Amends SSA title XI part A to direct the Secretary to publish in the Federal Register a listing of all final adverse actions taken during the quarter. Requires the Secretary to study and report to the Congress on electronic reporting of provider ownership information under the new program.

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3 official files

• Introduced in House (text)

  Introduced in House · EN · 28 April 1993

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• Introduced in House (PDF)

  Introduced in House · EN · 28 April 1993

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• Introduced in House

  summary · EN · 9 March 1993

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