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US HR2663

US HR2663
Home Health Documentation and Program Improvement Act of 2017


summary

Introduced
05/25/2017
In Committee
06/07/2017
Crossed Over
Passed
Dead
12/31/2018

Introduced Session

115th Congress

Bill Summary

Home Health Documentation and Program Improvement Act of 2017 This bill requires the Centers for Medicare & Medicaid Services (CMS) to use an individual's medical record from a home-health agency, as appropriate, to support certification of such individual's Medicare eligibility for home-health services. The bill requires the CMS to establish a process for home-health agencies that are entitled to an administrative appeal after being denied eligibility for Medicare reimbursement to, instead, enter into a settlement with the CMS.

AI Summary

This bill, the Home Health Documentation and Program Improvement Act of 2017, requires the Centers for Medicare & Medicaid Services (CMS) to use a home health agency's medical record, in addition to the certifying physician's or acute/post-acute facility's records, to support an individual's certification for Medicare eligibility for home health services. The bill also establishes a process for home health agencies that are entitled to an administrative appeal after being denied Medicare reimbursement to instead enter into a voluntary settlement with CMS. The settlement process allows CMS to calculate an aggregate payment amount based on a percentage of the denied claims under appeal, and the home health agency must forgo further administrative or judicial review of the settled claims.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (32)

Last Action

Referred to the Subcommittee on Health. (on 06/07/2017)

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