A bill to amend part B of title XI of the Social Security Act to provide providers and practitioners with a right to reconsideration of a payment denial by a peer review organization before the organization notifies the medicare beneficiary of the denial.

Summary

Amends part B (Peer Review) of title XI of the Social Security Act to require peer review organizations to give providers whose services are denied coverage under title XVIII (Medicare) of the Act an opportunity for reconsideration of the determination before patients and organizations responsible for paying claims are notified of such determination. Permits a physician to have such reconsideration conducted by a physician who specializes in his or her own field.

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2 official files

• Introduced in Senate (text)

  Introduced in Senate · EN

  ViewDownloadOpen at official source

• Introduced in Senate

  summary · EN · 22 June 1989

  Open at official source

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