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United States · Bill · HR

H.R. 2156 (114th)

Medicare Audit Improvement Act of 2015

referredUnited States· United States Congress· EN

Introduced

30 April 2015

Last action

18 May 2015 · Referred

Status

Referred to the Subcommittee on Health.

Sponsors

Sam Graves, Sen. Schiff, Adam B. [D-CA], Mike Bost, Ann Wagner, Eric Crawford, Gregg Harper, Thomas MacArthur, Scott Tipton, Todd Rokita, Michelle Lujan Grisham, Rodney Davis, Blake Farenthold, LOUISE SLAUGHTER, Rep. Huelskamp, Tim [R-KS-1], Rep. Israel, Steve [D-NY-3], Blaine Luetkemeyer, Alan Lowenthal, Rep. Quigley, Mike [D-IL-5], Rep. Hanna, Richard L. [R-NY-22], Mike Pompeo, Norma Torres, Julia Brownley, Zoe Lofgren, PETER KING, Rep. Grothman, Glenn [R-WI-6], COLLIN PETERSON, Rod Blum, Billy Long, Robert Aderholt, Rep. Ribble, Reid J. [R-WI-8], Rep. Sewell, Terri A. [D-AL-7], Rep. Chu, Judy [D-CA-28], Bill Johnson, John Katko, Cynthia Lummis, Rep. Walberg, Tim [R-MI-5], Rep. Miller, Candice S. [R-MI-10], Rep. Bera, Ami [D-CA-6], ROBERT GOODLATTE, Scott Peters, Rep. Hinojosa, Ruben [D-TX-15], Eric Swalwell, Betty McCollum, Kathleen Rice, Rep. Gibson, Christopher P. [R-NY-19], Rep. Veasey, Marc A. [D-TX-33], Steve King, Bruce Westerman

Subjects

Healthcare, Taxation

Source updated

12 August 2025

Healthcare · Taxation

Official sourceDownload fileView documentsShare

Summary

Medicare Audit Improvement Act of 2015 This bill amends title XVIII (Medicare) of the Social Security Act (SSAct) with respect to the practices of recovery audit contractors (RACs) under the Medicare program fin identifying underpayments and overpayments and recouping overpayments. Incentive payments to a RAC for recovery activities are prohibited for FY2015 and subsequent fiscal years. Payments for recovery activities shall be reduced, according to a sliding scale established by the Secretary of Health and Human Services, to any RAC with a complex audit denial rate at the end of a fiscal year, determined pursuant to a specified formula, that is .1% or greater. The one-year timely filing limit for certain rebilled SSAct title XVIII part B (Supplementary Medical Insurance) claims is eliminated, extending the deadline for the rebill to 180 days after final denial of the claim. A determination of whether inpatient hospital services or inpatient critical access hospital services furnished to an individual are reasonable and necessary shall now be based solely on information available to the admitting physician at the time of the inpatient admission of the individual for such services, as documented in the medical record.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

  1. 30 April 2015

    Introduced

    Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

    Source: IntroReferral

  2. 30 April 2015

    Introduced

    Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

    Source: IntroReferral

  3. 30 April 2015

    Introduced

    Introduced in House

    Source: IntroReferral

  4. 30 April 2015

    Introduced

    Introduced in House

    Source: IntroReferral

  5. 1 May 2015

    Referred

    Referred to the Subcommittee on Health.

    Source: Committee

  6. 18 May 2015

    Referred

    Referred to the Subcommittee on Health.

    Source: Committee

Votes

No vote records are attached yet.

Versions

Documents

3 official files

Introduced in House (text)

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Sponsors

Showing 48 of 90 sponsors and actors.

Related records

Sources

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