S. 1105In Committee

No UPCODE Act

Modify Medicare Advantage payment adjustment methods by tightening how CMS uses diagnostic and coding data for elderly beneficiaries' health status

What this bill does

Modify Medicare Advantage payment adjustment methods by tightening how CMS uses diagnostic and coding data for elderly beneficiaries' health status

Key points
  • Require two years diagnostic data
  • Require coding pattern adjustments
  • Prohibit chart review diagnoses

Where it stands

Status
In Committee
Latest action
2025-03-25Read twice and referred to the Committee on Finance.

Topics and policy areas

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