Establishes a site-neutral payment policy for low-complexity, routine medical care to align payment rates across ambulatory settings.
The bill introduces a site-neutral payment policy for low-complexity, routine medical care, aiming to align payment rates across ambulatory settings for selected services deemed safe and appropriate in all settings. It prohibits health care providers from charging, billing, or accepting payments exceeding 150% of the Medicare non-hospital rate or negotiated rates. The superintendent can impose penalties of up to $50,000 per day for violations.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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