senate Bill S6494A

2013-2014 Legislative Session

Relates to automated payment detection, prevention and recovery solutions to reduce correctional healthcare overpayments, billed for eligible services

download bill text pdf

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Archive: Last Bill Status -


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor

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Actions

view actions (9)
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
amend (t) and recommit to crime victims, crime and correction
Jan 29, 2014 referred to crime victims, crime and correction

Votes

view votes

Jun 11, 2014 - Rules committee Vote

S6494A
21
0
committee
21
Aye
0
Nay
2
Aye with Reservations
0
Absent
2
Excused
0
Abstained
show Rules committee vote details

May 14, 2014 - Crime Victims, Crime and Correction committee Vote

S6494A
10
0
committee
10
Aye
0
Nay
3
Aye with Reservations
0
Absent
0
Excused
0
Abstained
show Crime Victims, Crime and Correction committee vote details

Crime Victims, Crime and Correction Committee Vote: May 14, 2014

S6494 - Details

See Assembly Version of this Bill:
A8332B
Law Section:
Correction Law
Laws Affected:
Add §140-a, Cor L; add §368-g, Soc Serv L

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.

S6494 - Sponsor Memo

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.

S6494A (ACTIVE) - Details

See Assembly Version of this Bill:
A8332B
Law Section:
Correction Law
Laws Affected:
Add §140-a, Cor L; add §368-g, Soc Serv L

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.

S6494A (ACTIVE) - Sponsor Memo

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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