Preventing Hospital Overbilling of Medicare Act

TL;DR (AI)

• The bill amends the Social Security Act to clarify the definition of 'off-campus outpatient department of a provider' and establish billing requirements for these locations.
• It mandates that off-campus outpatient departments obtain separate National Provider Identifiers (NPIs) and use them on Medicare claim forms starting January 1, 2026.
• The Secretary of Health and Human Services will request the National Association of Insurance Commissioners to create a model Act or regulation to prevent inappropriate billing for off-campus outpatient department services.