96Team Braun Briefing

Prepared for: John
RE:
SITE Act
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Senator Mike Braun recently
introduced his bipartisan bill to fix part of the Medicare billing
structure that allows hospital systems to charge high rates for care
received at off-campus outpatient facilities.

He was joined by
Senator Maggie Hassan and Senator John Kennedy.

Due to Medicare’s
billing structure, even if care is received at an off-campus outpatient
facility, it can be billed as though the care was provided at the main
hospital campus. This means the higher hospital rate is charged.
“Hoosiers know our health care system is broken, and one problem we can
fix right now is services at off-campus outpatient facilities being
billed to Medicare at higher hospital rates.” // Sen. Mike Braun
This
issue has become more prevalent as more and more small physician-owned
practices and off-campus facilities are acquired by larger hospital
systems.
“Fixing this problem will save taxpayers 40 billion over the
next decade, and this bill will apply some of those savings to fixing
our nursing shortage by creating a new program to pay for training.” //
Sen. Mike Braun
The Site-based Invoicing and Transparency Enhancement
(SITE) Act will:

– End the 2015 Bipartisan Budget Act site neutral
exceptions.
– Prevent off-campus emergency departments from charging
higher rates than on-campus emergency departments when standalone
emergency facilities are located in close proximity to a hospital
campus.
– Require that health systems establish and bill using a unique
National Provider Identifier number for each and every off-campus
outpatient department.
– Direct HHS to treat outpatient departments as
subparts of the parent organization and to issue these subparts unique
provider identifiers.
– Remove liability for services rendered for
payers that are not billed in accordance with this section’s
requirements.

The bill will use the savings from these outlined steps
to help fill the nursing shortage by creating a graduate nursing
education program that would provide payments for training costs.

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[link removed]
[link removed] Paid for by Mike Braun for Indiana,
Inc.
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