Oversight of Medicare Billing Code Cost Act

The Inspector General of the Department of Health and Human Services shall conduct a comprehensive study of the processes used by the Centers for Medicare & Medicaid Services for adding, modifying, and removing billing codes under the Medicare program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.). Such study shall include an analysis of—

(A) the level and types of data and analysis considered;

(B) trends in the number and types of codes added, modified, removed, or revalued;

(C) areas or specialties with the highest growth; and

(D) efforts by the Centers for Medicare & Medicaid Services to monitor effects on outcomes, costs over time, and other issues.

Not later than 12 months after the date of enactment of this Act, the Inspector General shall submit to Congress a report containing the results of the study conducted under paragraph (1), together with recommendations for such legislation and administrative action the Inspector General determines appropriate to improve transparency and oversight of the processes described in such paragraph.

Not later than June 1 of each year (beginning with 2024), the Secretary of Health and Human Services shall submit to Congress and make publicly available on the internet website of the Centers for Medicare & Medicaid Services a report listing any billing codes added under the Medicare program under title XVIII of the Social Security Act during the preceding year, along with the associated volume and expenditures for such codes under the Medicare program.