S.3270 - Durable Medical Equipment Fraud and Abuse Prevention Act of 1992102nd Congress (1991-1992)
|Sponsor:||Sen. Pryor, David H. [D-AR] (Introduced 09/24/1992)|
|Committees:||Senate - Finance|
|Latest Action:||Senate - 09/24/1992 Read twice and referred to the Committee on Finance. (All Actions)|
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Summary: S.3270 — 102nd Congress (1991-1992)All Information (Except Text)
Introduced in Senate (09/24/1992)
Durable Medical Equipment Fraud and Abuse Prevention Act of 1992 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) define "medical equipment and supplies" to include durable medical equipment and prosthetics and orthotics and prosthetic devices; (2) require the Secretary of Health and Human Services (HHS) to issue revised national standards for suppliers of medical equipment and supplies and to develop one or more standardized medical necessity certificates for suppliers of the items covered by the definition above; (3) permit suppliers of such items to complete information in such certificates identifying the supplier and the beneficiary, describing the item furnished, and giving the product code for such item; (4) set penalties for violations involving distribution of such certificates; (5) require the Secretary to develop and establish uniform national coverage and utilization review criteria for 200 items of medical equipment and supplies selected in accordance with specified standards, annually review to determine whether items not included among those selected should be subjected to such uniform criteria, and report to the Congress on the criteria's impact on item utilization; (6) prohibit the Secretary from issuing more than one supplier number to any supplier of medical equipment and supplies, except under certain circumstances; (7) specify the circumstances under which Medicare beneficiaries are not financially liable for items and services furnished by a supplier on an unassigned basis; (8) change payment methodology for nebulizers and aspirators and certain medical supplies; and (9) direct the Comptroller General to study and report to the Congress on services and supplies furnished to Medicare-eligible nursing facility residents, and on HHS changes to descriptions relating to the codes for medical equipment and supplies.
Amends SSA title XI to modify anti-kickback provisions.