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S. Rept. 114-177 1 (2015-12-08)

handle is hein.congrecreports/crptxsdv0001 and id is 1 raw text is: AUT-ENTICATED US. GOVERNMENT INFORMATION GP Calendar No. 317 114TH CONGRESS REPORT 1st Session SENATE 114-177 AUDIT & APPEALS FAIRNESS, INTEGRITY, AND REFORMS IN MEDICARE ACT OF 2015 DECEMBER 8, 2015.-Ordered to be printed Mr. HATCH, from the Committee on Finance, submitted the following REPORT [To accompany S. 2368] [Including cost estimate of the Congressional Budget Office] The Committee on Finance, having considered an original bill (S. 2368) to amend title XVIII of the Social Security Act to improve the efficiency of the Medicare appeals process, and for other purposes, having considered the same, reports favorably thereon without amendment, and recommends that the bill do pass. CONTENTS Page I. LEGISLATIVE BACKGROUND ................................................................. 2 II. EXPLANATION OF THE BILL ................................................................... 5 A. SECTIONS 1-9, IMPROVEMENTS TO THE APPEALS PROC- E S S ................................................................................................. 5 B. SECTION 10, REVIEW PROGRAM IMPROVEMENTS ............... 11 C. SECTION 11, CREATION OF MEDICARE PROVIDER AND SUPPLIER OMBUDSMAN FOR REVIEWS AND APPEALS .... 14 D. SECTION 12, LIMITING THE AUDIT AND RECOVERY PE- RIOD FOR PATIENT STATUS REVIEWS .................................. 15 E. SECTION 13, INCENTIVES AND DISINCENTIVES FOR MEDICARE CONTRACTORS, PROVIDERS, AND SUP- P L IE R S ............................................................................................ 17 III. BUDGET EFFECTS OF THE BILL ........................................................... 18 A. COMMITTEE ESTIMATES ............................................................. 18 B. BUDGET AUTHORITY .................................................................... 20 C. CONSULTATION WITH CONGRESSIONAL BUDGET OF- F IC E ................................................................................................ 20 IV. VOTES OF THE COMM ITTEE .................................................................... 20 V. REGULATORY IMPACT AND OTHER MATTERS ................................... 21 A. REGULATORY IM PACT ................................................................. 21 B. UNFUNDED MANDATES STATEMENT ...................................... 21 VI. CHANGES IN EXISTING LAW MADE BY THE BILL, AS REPORTED 21 59-010

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