To amend title XVIII of the Social Security Act to provide for the expeditious coverage of new medical technology under the Medicare Program and to establish an Office of Technology and Innovation within the Centers for Medicare & Medicaid Services.
Directs the Secretary to establish an Office of Technology and Innovation in the Centers for Medicare and Medicaid Services, headed by a Director charged with promoting access by Medicare beneficiaries to new medical technologies and innovations and improving overseeing implementation of coverage determinations.
Provides for annual adjustments to Medicare payment systems for changes in technology and medical practice using internal and external data with respect to: (1) the inpatient prospective payment system (PPS); (2) the physician fee schedule; (3) ambulatory surgical center payments; and (4) the outpatient PPS.
Revises requirements for the recognition of the costs of new medical services and technologies under the inpatient hospital PPS. Mandates a mechanism under which new medical services and technologies are incorporated into such PPS.
Directs the Secretary to establish by regulation a process for the assignment of inpatient hospital codes each calendar quarter for new medical services and technologies.
Requires the Secretary to establish a process for the assignment of Health Care Financing Administration Common Procedure Coding System (HCPCS) Level II codes each calendar quarter for new medical services and technologies.
Amends the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 to provide for permanent retention of HCPCS Level III codes.
Revises requirements for the use of carriers for administration of benefits with respect to the inherent reasonableness of valid data, including valid retail data.
Introduced in House
Introduced in House
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Subcommittee on Health.
Referred to the Subcommittee on Health, for a period to be subsequently determined by the Chairman.
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