Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jun 12, 2014 |
referred to correction delivered to assembly passed senate |
Jun 11, 2014 |
ordered to third reading cal.1341 committee discharged and committed to rules |
May 14, 2014 |
reported and committed to finance |
May 05, 2014 |
print number 6494a |
May 05, 2014 |
amend (t) and recommit to crime victims, crime and correction |
Jan 29, 2014 |
referred to crime victims, crime and correction |
Senate Bill S6494A
2013-2014 Legislative Session
Sponsored By
(R, C, IP) Senate District
Archive: Last Bill Status - In Assembly Committee
- Introduced
-
- In Committee Assembly
- In Committee Senate
-
- On Floor Calendar Assembly
- On Floor Calendar Senate
-
- Passed Assembly
- Passed Senate
- Delivered to Governor
- Signed By Governor
Actions
Votes
Bill Amendments
2013-S6494 - Details
2013-S6494 - Summary
Relates to the development and implementation of automated payment detection, prevention and recovery solutions to reduce correctional healthcare overpayments, and requires that private health insurance and Medicaid are billed for eligible inpatient hospital and professional services.
2013-S6494 - Sponsor Memo
BILL NUMBER:S6494 TITLE OF BILL: An act to amend the correction law, in relation to the development and implementation of automated payment detection, prevention and recovery solutions to reduce correctional healthcare overpayments, and to require that private health insurance providers and Medicaid are billed for eligible inpatient hospital and professional services PURPOSE OR GENERAL IDEA OF BILL: This bill seeks to prevent Medicaid fraud within correctional facilities, ensuring that patients receive proper services. SUMMARY OF SPECIFIC PROVISIONS: Section 1 lists that states that have implemented a similar bill have saved "millions of dollars" and reduced healthcare costs by billing private health insurance providers and Medicaid for eligible inpatient healthcare costs. This would apply to all state correctional facilities. Section 2 defines the technological services that would be provided to prevent errors and potential overbilling. Section 3 details the procedures that would be taken to prevent fraud.
2013-S6494 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 6494 I N S E N A T E January 29, 2014 ___________ Introduced by Sen. RANZENHOFER -- read twice and ordered printed, and when printed to be committed to the Committee on Crime Victims, Crime and Correction AN ACT to amend the correction law, in relation to the development and implementation of automated payment detection, prevention and recovery solutions to reduce correctional healthcare overpayments, and to require that private health insurance providers and Medicaid are billed for eligible inpatient hospital and professional services THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Legislative intent. Other states have saved millions of dollars by implementing solutions to eliminate and recover correctional healthcare overpayments and significantly have reduced correctional healthcare costs by billing private health insurance providers and Medi- caid for eligible inpatient healthcare costs. New York can benefit by implementing similar measures. It is the intent of the legislature to implement automated payment detection, prevention and recovery solutions to reduce correctional healthcare overpayments, and to ensure that private insurance companies and Medicaid are billed for eligible inpa- tient hospital and professional services. S 2. The correction law is amended by adding a new section 140-a to read as follows: S 140-A. HEALTHCARE PAYMENTS; BILLING PRIVATE HEALTH INSURANCE AND MEDICAID. 1. UNLESS OTHERWISE STATED, THE PROVISIONS OF THIS SECTION APPLY TO ALL STATE CORRECTIONAL HEALTHCARE SYSTEMS AND SERVICES AND STATE CONTRACTED MANAGED CORRECTIONAL HEALTHCARE SERVICES. 2. THE DEPARTMENT SHALL IMPLEMENT AUTOMATED PAYMENT DETECTION, PREVENTION, AND RECOVERY PROCEDURES TO ENSURE THAT PRIVATE HEALTH INSUR- ANCE OR MEDICAID IS BILLED FOR ELIGIBLE INPATIENT HOSPITAL AND PROFES- SIONAL HEALTHCARE SERVICES. THESE PROCEDURES MUST INCLUDE, BUT ARE NOT LIMITED TO, CLINICAL CODE EDITING TECHNOLOGY TO FURTHER AUTOMATE CLAIMS RESOLUTION AND ENHANCE COST CONTAINMENT THROUGH IMPROVED CLAIM ACCURACY AND APPROPRIATE CODE CORRECTION. EDITS PERFORMED BY THIS TECHNOLOGY MUST BE APPLIED AUTOMATICALLY BEFORE THE ADJUDICATION OF CLAIMS, AND THIS EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
2013-S6494A (ACTIVE) - Details
2013-S6494A (ACTIVE) - Summary
Relates to the development and implementation of automated payment detection, prevention and recovery solutions to reduce correctional healthcare overpayments, and requires that private health insurance and Medicaid are billed for eligible inpatient hospital and professional services.
2013-S6494A (ACTIVE) - Sponsor Memo
BILL NUMBER:S6494A TITLE OF BILL: An act to amend the correction law and the social services law, in relation to the development and implementation of automated payment detection, prevention and recovery solutions to reduce correctional healthcare overpayments, and to require that private health insurance providers and Medicaid are billed for eligible inpatient hospital and professional services PURPOSE OR GENERAL IDEA OF BILL: This bill seeks to implement savings for state correctional healthcare and prevent Medicaid fraud within correctional facilities, while ensuring that patients receive proper services. SUMMARY OF SPECIFIC PROVISIONS: Section 1- Legislative intent. Section 2 - Part 1 provides that the new sections apply to all state correctional healthcare systems and state contracted managed correctional healthcare systems. - Part 2 requires implementation of procedures to utilize Medicaid for reimbursement of correctional healthcare costs and defines the technological services that would be provided to prevent errors and
2013-S6494A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 6494--A I N S E N A T E January 29, 2014 ___________ Introduced by Sen. RANZENHOFER -- read twice and ordered printed, and when printed to be committed to the Committee on Crime Victims, Crime and Correction -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the correction law and the social services law, in relation to the development and implementation of automated payment detection, prevention and recovery solutions to reduce correctional healthcare overpayments, and to require that private health insurance providers and Medicaid are billed for eligible inpatient hospital and professional services THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Legislative intent. Other states have saved millions of dollars by implementing solutions to eliminate and recover correctional healthcare overpayments and significantly have reduced correctional healthcare costs by billing private health insurance providers and Medi- caid for eligible inpatient healthcare costs. New York can benefit by implementing similar measures. It is the intent of the legislature to implement automated payment detection, prevention and recovery solutions to reduce correctional healthcare overpayments, and to ensure that private insurance companies and Medicaid are billed for eligible inpa- tient hospital and professional services. S 2. The correction law is amended by adding a new section 140-a to read as follows: S 140-A. HEALTHCARE PAYMENTS; BILLING PRIVATE HEALTH INSURANCE AND MEDICAID. 1. UNLESS OTHERWISE STATED, THE PROVISIONS OF THIS SECTION APPLY TO ALL STATE CORRECTIONAL HEALTHCARE SYSTEMS AND SERVICES AND STATE CONTRACTED MANAGED CORRECTIONAL HEALTHCARE SERVICES. 2. THE DEPARTMENT SHALL IMPLEMENT AUTOMATED PAYMENT DETECTION, PREVENTION, AND RECOVERY PROCEDURES TO ENSURE THAT PRIVATE HEALTH INSUR- ANCE OR MEDICAID IS BILLED FOR ELIGIBLE INPATIENT HOSPITAL AND PROFES- SIONAL HEALTHCARE SERVICES. THESE PROCEDURES MUST INCLUDE, BUT ARE NOT LIMITED TO, CLINICAL CODE EDITING TECHNOLOGY TO FURTHER AUTOMATE CLAIMS RESOLUTION AND ENHANCE COST CONTAINMENT THROUGH IMPROVED CLAIM ACCURACY EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
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