SEC. 203. BENEFICIARY INCENTIVE PROGRAMS.
Title[ Title II\Subtitle A Contents
<<NOTE: 42 USC 1395b-5.>>
(a) Clarification of Requirement to Provide Explanation of Medicare
Benefits.--The Secretary of Health and Human Services (in this section
referred to as the ``Secretary'') shall provide an explanation of
benefits under the Medicare program under title XVIII of the Social
Security Act with respect to each item or service for which payment may
be made under the program which is furnished to an individual, without
regard to whether or not a deductible or coinsurance may be imposed
against the individual with respect to the item or service.
(b) Program To Collect Information on Fraud and Abuse.--
(1) Establishment of program.--Not later than 3 months after
the date of the enactment of this Act, the Secretary shall
establish a program under which the Secretary shall encourage
individuals to report to the Secretary information on
individuals and entities who are engaging in or who have engaged
in acts or omissions which constitute grounds for the imposition
of a sanction under section 1128, 1128A, or 1128B of the Social
Security Act, or who have otherwise engaged in fraud and abuse
against the Medicare program under title XVIII of such act for
which there is a sanction provided under law. The program shall
discourage provision of, and not consider, information which is
frivolous or otherwise not relevant or material to the
imposition of such a sanction.
(2) Payment of portion of amounts collected.--If an
individual reports information to the Secretary under the
program established under paragraph (1) which serves as the
basis for the collection by the Secretary or the Attorney
General of any amount of at least $100 (other than any amount
paid as a penalty under section 1128B of the Social Security
Act), the Secretary may pay a portion of the amount collected to
the individual (under procedures similar to those applicable
under section 7623 of the Internal Revenue Code of 1986 to
payments to individuals providing information on violations of
such Code).
(c) Program To Collect Information on Program
Efficiency.--
(1) Establishment of program.--Not later than 3 months after
the date of the enactment of this Act, the Secretary shall
establish a program under which the Secretary shall encourage
individuals to submit to the Secretary suggestions on methods to
improve the efficiency of the Medicare program.
(2) Payment of portion of program savings.--If an individual
submits a suggestion to the Secretary under the program
established under paragraph (1) which is adopted by the
Secretary and which results in savings to the program, the
Secretary may make a payment to the individual of such amount as
the Secretary considers appropriate.
Contents
Contents
Prev
Next
Last
