Requires Medicare to Block Fraudulent Providers' IDs
HR1784-119 · Introduced Mar 3, 2025
Why it matters
Providers barred for fraud would lose their Medicare ID numbers, making it harder to bill. Patients may see more tracking of who provides their care and how it is billed.
What it does
- Requires Medicare to deactivate ID numbers of providers excluded for fraud, waste, or abuse
- Requires Medicare Advantage plans to include provider ID numbers on certain equipment, lab, imaging, and home health claims
- Requires telehealth practitioners to use a special Medicare billing code for telehealth services
In committee
Next: a committee vote
- Introduceddone
- Committeecurrent step
- Housenot yet
- Senatenot yet
- Presidentnot yet
About this bill
Would require Medicare to deactivate ID numbers of providers excluded for fraud, waste, or abuse, and require new claim data and telehealth billing codes.
Medicare Fraud Detection and Deterrence Act of 2025
Perspectives
💬 The case for
Program integrity groups would likely say the bill closes gaps that let banned providers keep billing. Tracking provider IDs on claims would make fraud easier to spot.
💬 The case against
Some health care providers would likely say the new billing rules add paperwork. Telehealth groups may worry the special billing code creates extra work for clinicians.
Sponsored by
Sponsor details for this federal bill are at the source link.
News
Loading coverage…