Authorizes the Secretary of Health and Human Services to contract with auditors for prepayment reviews under Medicare.
The Medicare Payment Integrity Enhancement Act of 2026 amends title XVIII of the Social Security Act to authorize the Secretary of Health and Human Services to enter into contracts with recovery audit contractors. These contractors will perform prepayment reviews of claims for payment under the Medicare program. The bill also requires the Secretary to issue regulations within a year of enactment, detailing the methodology for making payments to these contractors.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
See what it does, who it affects, and the critical issues in plain language. Free, 30 seconds.