Bill > HR3417

This bill, the Facilitating Accountability In Reimbursements Act (FAIR Act), aims to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a healthcare provider. The key provisions of the bill are: 1. It requires that, by January 1, 2025, each off-campus outpatient department of a provider be assigned a separate unique health identifier from the provider, ensuring they are treated as a subpart of the provider with a distinct billing identifier. 2. For Medicare, it mandates that off-campus outpatient departments bill for their services using the unique identifier established for their department, starting January 1, 2025. 3. For other insurance providers, the bill prohibits off-campus outpatient departments from submitting claims or holding patients liable for services unless they are billed using the unique identifier and on the appropriate HIPAA transaction or form. The overall goal is to increase transparency and accountability in the billing practices of off-campus outpatient departments, which may have previously been able to bill at higher rates than individual practitioners or group practices for the same services.

Business and Industry, Health and Social Services

https://www.congress.gov/bill/118th-congress/house-bill/3417/all-info