Assembly Bill A8332B

2013-2014 Legislative Session

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

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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

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Bill Amendments

co-Sponsors

multi-Sponsors

2013-A8332 - Details

See Senate Version of this Bill:
S6494
Current Committee:
Assembly Correction
Law Section:
Correction Law
Laws Affected:
Add §140-a, Cor L; add §368-g, Soc Serv L
Versions Introduced in Other Legislative Sessions:
2015-2016: A2799, S2883
2017-2018: A2428

2013-A8332 - 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-A8332 - Bill Text download pdf

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  8332

                       2013-2014 Regular Sessions

                          I N  A S S E M B L Y

                            December 18, 2013
                               ___________

Introduced by M. of A. SEPULVEDA, ROSA -- Multi-Sponsored by -- M. of A.
  MAGEE -- read once and referred to the Committee on 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  Medicaid is 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 Medicaid 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 Medicaid is 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 AND MEDICAID. 1. UNLESS  OTHER-
WISE  STATED,  THE PROVISIONS OF THIS SECTION APPLY TO ALL STATE CORREC-
TIONAL 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  MEDICAID  IS  BILLED
FOR  ELIGIBLE  INPATIENT  HOSPITAL AND PROFESSIONAL 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 AUTOMAT-

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD13172-01-3
              

co-Sponsors

multi-Sponsors

2013-A8332A - Details

See Senate Version of this Bill:
S6494
Current Committee:
Assembly Correction
Law Section:
Correction Law
Laws Affected:
Add §140-a, Cor L; add §368-g, Soc Serv L
Versions Introduced in Other Legislative Sessions:
2015-2016: A2799, S2883
2017-2018: A2428

2013-A8332A - 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-A8332A - Bill Text download pdf

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 8332--A

                       2013-2014 Regular Sessions

                          I N  A S S E M B L Y

                            December 18, 2013
                               ___________

Introduced  by  M.  of  A.  SEPULVEDA, ROSA, MONTESANO, STECK, TENNEY --
  Multi-Sponsored by -- M. of A. MAGEE, PERRY, RIVERA -- read  once  and
  referred  to the Committee on Correction -- recommitted to the Commit-
  tee on Correction in accordance  with  Assembly  Rule  3,  sec.  2  --
  committee  discharged,  bill amended, ordered reprinted as amended and
  recommitted to said committee

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-

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD13172-02-4
              

co-Sponsors

multi-Sponsors

2013-A8332B (ACTIVE) - Details

See Senate Version of this Bill:
S6494
Current Committee:
Assembly Correction
Law Section:
Correction Law
Laws Affected:
Add §140-a, Cor L; add §368-g, Soc Serv L
Versions Introduced in Other Legislative Sessions:
2015-2016: A2799, S2883
2017-2018: A2428

2013-A8332B (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-A8332B (ACTIVE) - Bill Text download pdf

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 8332--B

                       2013-2014 Regular Sessions

                          I N  A S S E M B L Y

                            December 18, 2013
                               ___________

Introduced by M. of A. SEPULVEDA, ROSA, MONTESANO, STECK, TENNEY, ROBIN-
  SON  --  Multi-Sponsored  by  -- M. of A. MAGEE, PERRY, RIVERA -- read
  once and referred to the Committee on Correction -- recommitted to the
  Committee on Correction in accordance with Assembly Rule 3, sec. 2  --
  committee  discharged,  bill amended, ordered reprinted as amended and
  recommitted to said committee  --  again  amended  on  third  reading,
  ordered reprinted, retaining its place on the order of third reading

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.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD13172-05-4
              

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