Page:United States Statutes at Large Volume 111 Part 1.djvu/445

From Wikisource
Jump to: navigation, search
This page needs to be proofread.


PUBLIC LAW 105-33 —AUG. 5, 1997 111 STAT. 421 (2) REQUIRING PAYMENT FOR ALL PART B ITEMS AND SERV- ICES TO BE MADE TO FACILITY.—The first sentence of section 1842(b)(6) (42 U.S.C. 1395u(b)(6)) is amended— (A) by striking "and (D)" and inserting "(D)"; and (B) by striking the period at the end and inserting the following: ", and (E) in the case of an item or service (other than services described in section 1888(e)(2)(A)(ii)) furnished to an individual who (at the time the item or service is furnished) is a resident of a skilled nursing facility or of a part of a facility that includes a skilled nursing facility (as determined under regulations), payment shall be made to the facility (without regard to whether or not the item or service was furnished by the facility, by others under arrangement with them made by the facility, under any other contracting or consulting arrangement, or otherwise).". (3) PAYMENT RULES.—Section 1888(e) (42 U.S.C. 1395yy(e)), as added by subsection (a), is amended by adding at the end the following: "(9) PAYMENT FOR CERTAIN SERVICES.— In the case of an item or service furnished to a resident of a skilled nursing facility or a part of a facility that includes a skilled nursing facility (as determined under regulations) for which payment would (but for this paragraph) be made under part B in an amount determined in accordance with section 1833(a)(2)(B), the amount of the payment under such part shall be the amount provided under the fee schedule for such item or service. "(10) REQUIRED CODING. —No payment may be made under part B for items and services (other than services described in paragraph (2)(A)(ii)) furnished to an individual who is a resident of a skilled nursing facility or of a part of a facility that includes a skilled nursing facility (as determined under regulations), unless the claim for such payment includes a code (or codes) under a uniform coding system specified by the Secretary that identifies the items or services fiimished.". (4) FACILITY PROVIDER NUMBER REQUIRED ON CLAIMS SUBMITTED BY PHYSICIANS.— Section 1842 (42 U.S.C. 1395u) is amended by adding at the end the following new section: "(t) Each request for payment, or bill submitted, for an item or service furnished by a physician to an individual who is a resident of a skilled nursing facility or of a part of a facility that includes a skilled nursing facility (as determined under regulations), for which payment may be made under this part shall include the facility's medicare provider number.". (5) CONFORMING AMENDMENTS. — (A) Section 1819(b)(3)(C)(i) (42 U.S.C. 13951- 3(b)(3)(C)(i)) is amended by striking "Such" and inserting "Subject to the timeframes prescribed by the Secretary under section 1888(e)(6), such". (B) Section 1832(a)(1) (42 U.S.C. 1395k(a)(l)) is amended by striking "(2);" and inserting "(2) and section 1842(b)(6)(E);". (C) Section 1833(a)(2)(B) (42 U.S.C. 13951(a)(2)(B)) is amended by inserting "or section 1888(e)(9)" after "section 1886". (D) Section 1861(h) (42 U.S.C 1395x(h)) is amended—