Preventing Hospital Overbilling
Official: Preventing Hospital Overbilling of Medicare Act
This bill aims to stop hospitals from charging more for services provided at off-campus locations than they would at their main facility. It helps ensure fair billing practices for Medicare patients.
Preventing Hospital Overbilling of Medicare Act This bill repeals certain exceptions to site-neutral payments with respect to Medicare payments to an off-campus outpatient department of a health care provider. It also requires providers to use separate, unique health identifiers when submitting a claim to a health insurance issuer for services provided at an off-campus outpatient department.
1. This bill changes how hospitals bill for services provided at off-campus locations. 2. It ensures that off-campus departments are treated the same as other outpatient facilities. 3. The bill requires hospitals to have separate identifiers for off-campus departments. 4. It aims to reduce costs for Medicare by preventing overbilling. 5. The changes will take effect starting January 1, 2026.
Medicare patients receiving care at off-campus hospital locations.