H.R. 3200/Division B/Title VI

— PROGRAM INTEGRITY

 * SUBTITLE A—INCREASED FUNDING TO FIGHT WASTE, FRAUD, AND ABUSE
 * Sec. 1601. Increased Funding and Flexibility to Fight Fraud and Abuse.


 * SUBTITLE B—ENHANCED PENALTIES FOR FRAUD AND ABUSE
 * Sec. 1611. Enhanced Penalties for False Statements on Provider or Supplier Enrollment Applications.
 * Sec. 1612. Enhanced Penalties for Submission of False Statements Material to a False Claim.
 * Sec. 1613. Enhanced Penalties for Delaying Inspections.
 * Sec. 1614. Enhanced Hospice Program Safeguards.
 * Sec. 1615. Enhanced Penalties for Individuals Excluded from Program Participation.
 * Sec. 1616. Enhanced Penalties for Provision of False Information by Medicare Advantage and PART D Plans.
 * Sec. 1617. Enhanced Penalties for Medicare Advantage and PART D Marketing Violations.
 * Sec. 1618. Enhanced Penalties for Obstruction of Program Audits.
 * Sec. 1619. Exclusion of Certain Individuals and Entities from Participation in Medicare and State Health Care Programs.


 * SUBTITLE C—ENHANCED PROGRAM AND PROVIDER PROTECTIONS
 * Sec. 1631. Enhanced CMS Program Protection Authority.
 * Sec. 1632. Enhanced Medicare, Medicaid, and CHIP Program Disclosure Requirements Relating to Previous Affiliations.
 * Sec. 1633. Required Inclusion of Payment Modifier for Certain Evaluation and Management Services.
 * Sec. 1634. Evaluations and Reports Required under Medicare Integrity Program.
 * Sec. 1635. Require Providers and Suppliers to Adopt Programs to Reduce Waste, Fraud, and Abuse.
 * Sec. 1636. Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months.
 * Sec. 1637. Physicians Who Order Durable Medical Equipment or Home Health Services Required to be Medicare Enrolled Physicians or Eligible Professionals.


 * Sec. 1638. Requirement for Physicians to Provide Documentation on Referrals to Programs at High Risk of Waste and Abuse.
 * Sec. 1639. Face to Face Encounter with Patient Required Before Physicians May Certify Eligibility for Home Health Services or Durable Medical Equipment Under Medicare.


 * Sec. 1640. Extension of Testimonial Subpoena Authority to Program Exclusion Investigations.
 * Sec. 1641. Required Repayments of Medicare and Medicaid Overpayments.
 * Sec. 1642. Expanded Application of Hardship Waivers for OIG Exclusions to Beneficiaries of Any Federal Health Care Program.
 * Sec. 1643. Access to Certain Information on Renal Dialysis Facilities.
 * Sec. 1644. Billing Agents, Clearinghouses, or Other Alternate Payees Required to Register under Medicare.
 * Sec. 1645. Conforming Civil Monetary Penalties to False Claims Act Amendments.


 * SUBTITLE D—ACCESS TO INFORMATION NEEDED TO PREVENT FRAUD, WASTE, AND ABUSE
 * Sec. 1651. Access to Information Necessary to Identify Fraud, Waste, and Abuse.
 * Sec. 1652. Elimination of Duplication Between the Healthcare Integrity and Protection Data Bank and the National Practitioner Data Bank.
 * Sec. 1653. Compliance with HIPAA Privacy and Security Standards.

