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United States · Bill · S

S. 1325 (104th)

Medicare Whistleblower Act of 1995

referredUnited States· United States Congress· EN

Introduced

17 October 1995

Last action

Status

Read twice and referred to the Committee on Finance.

Sponsors

Subjects

Discovery layer

Source updated

21 August 2025

Summary

Medicare Whistleblower Act of 1995 - Amends title XI of the Social Security Act to allow Medicare beneficiaries to submit a written request to program providers for an itemized bill of items and services received from them. Permits such beneficiaries to further request a review of such a bill by the appropriate fiscal intermediary or carrier under contract to administer Medicare benefits for any billing irregularities. Directs the Secretary of Health and Human Services to require such entities to take all appropriate measures to recover amounts inappropriately paid because of such irregularities. Subjects providers submitting fraudulent billings to a certain civil money penalty in addition to any other penalties that may be prescribed by law. Provides for antifraud incentive payments (out of collected penalties) to Medicare beneficiaries who request itemized billings later found to contain irregularities of a negligent or fraudulent nature.

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Documents

3 official files

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Sources

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