H.R. 3328 (112th): To amend title XVIII of the Social Security Act to provide a six-month grace period for certain ...

...Medicare advanced diagnostic imaging services suppliers to receive accreditation.

112th Congress, 2011–2013. Text as of Nov 02, 2011 (Introduced).

Status & Summary | PDF | Source: GPO

I

112th CONGRESS

1st Session

H. R. 3328

IN THE HOUSE OF REPRESENTATIVES

November 2, 2011

(for himself and Mr. Roskam) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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

A BILL

To amend title XVIII of the Social Security Act to provide a six-month grace period for certain Medicare advanced diagnostic imaging services suppliers to receive accreditation.

1.

Six-month grace period for accreditation of Medicare advanced diagnostic imaging services suppliers

Section 1834(e) of the Social Security Act (42 U.S.C. 1995m) is amended by adding at the end the following new paragraph:

(6)

Grace period

(A)

In general

In the case of a supplier who has not previously received payment for the technical component of advanced diagnostic imaging services under the fee schedule established under section 1848(b), subject to subparagraph (B), for purposes of this subsection the supplier shall be deemed to be accredited by an organization designated by the Secretary under paragraph (2)(B)(i) for a grace period that—

(i)

begins on the date the supplier conducts the first image or set of images obtained from an advanced diagnostic imaging service that is submitted to such organization for purposes of the supplier’s application for accreditation under this subsection; and

(ii)

ends on the earliest of the following:

(I)

The date on which the supplier’s application for accreditation is approved.

(II)

The date on which the supplier’s application for accreditation is denied.

(III)

The end of the 6-month period beginning on the date under clause (i).

(B)

Agreement

The Secretary may only deem a supplier as accredited under subparagraph (A) if the supplier enters an agreement with the Secretary that the supplier shall—

(i)

not accept any payment under the fee schedule established under section 1848(b) for the technical component of advanced diagnostic imaging services furnished for any period between the end of the grace period under subparagraph (A) and the final decision of the accreditation organization with respect to the supplier’s application for accreditation pursuant to this subsection; and

(ii)

if the application for accreditation is denied, repay all payments of Federal and State funds—

(I)

that were received by the supplier during such grace period under this title or as a result of the requirements of section 1902(a)(10)(E); and

(II)

which would not have been made, except as a result of the operation of subparagraph (A).

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