Medicare Fraud Prevention and Enforcement Act of 2001

Summary

Medicare Fraud Prevention and Enforcement Act of 2001 - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to conduct an additional site inspection for each applicable items or services provider that applies for a Medicare provider number (MPN) before issuing one and ensure that the site meets all requirements for obtaining Medicare billing privileges. Sets forth rules for Secretary background checks on MPN applicants. Directs the Secretary to establish procedures for applicant billing agency registration and for ID number assignment for each registered agency. Amends SSA title XI to provide for: (1) expanded access to the health integrity protection database; and (2) imposition of a criminal penalty for database information misuse. Amends SSA title XVIII with respect to agreements under Medicare part A (Hospital Insurance) with a public agency or private organization that facilitates payment to service providers to require that such agency or organization reimburse the Secretary for any amounts paid for a Medicare service furnished by an individual or entity during any period for which the individual or entity is excluded from participation in the Hospital Insurance program under certain conditions. Applies the same reimbursement requirement to contracts with a carrier with respect to payments to an excluded individual or entity for an item or service provided under Medicare part B (Supplementary Medical Insurance). Amends SSA titles XI and XVIII to deny discharge of debts in bankruptcy proceedings involving civil monetary penalties for fraudulent activities by health care providers or suppliers. Amends SSA title XI to prescribe a criminal penalty for illegal distribution of Medicare or Medicaid beneficiary ID numbers. Amends the Federal criminal code to provide for the treatment of acts involving Federal health care programs described under SSA title XI as Federal health care offenses. Amends SSA title XVIII to set forth rules governing use of universal product numbers (UPN's or bar codes) for Medicare claims reimbursement.

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3 official files

• Introduced in House (text)

  Introduced in House · EN · 3 January 2001

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• Introduced in House (PDF)

  Introduced in House · EN · 3 January 2001

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• Introduced in House

  summary · EN · 3 January 2001

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