accreditation entity deemed by the HHS 
Secretary to have standards that are essen-
tially equivalent to such boards; 
‘‘(iii) maintain a physical facility on 
an appropriate site; 
‘‘(iv) have proof of appropriate liabil-
ity insurance; and 
‘‘(v) meet such other requirements as 
the Secretary shall specify. 
‘‘(C) PROHIBITION
AGAINST
MULTIPLE 
SUPPLIER NUMBERS.—The Secretary may not 
issue more than one supplier number to any 
orthotic and/or prosthetic supplier unless the 
Secretary finds that the issuance of more than 
one number is appropriate to identify other en-
tities under the orthotic or prosthetic supplier’s 
ownership or control. 
‘‘(2) 
ORDER
FOR
ORTHOTICS
OR
PROS-
THETICS.— 
‘‘(A) 
INFORMATION
PROVIDED
BY 
ORTHOTISTS AND PROSTHETISTS ON DETAILED 
ORDERS FOR ORTHOTICS AND PROSTHETICS.— 
An orthotist or prosthetist may distribute to 
physicians, or to an individual entitled to bene-
fits under this part, a detailed written order for 
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orthotics or prosthetics (as defined in para-
graph (4)) for commercial purposes that con-
tains the following information: 
‘‘(i) An identification of the orthotic 
or prosthetic supplier and the beneficiary 
to whom such orthotics or prosthetics are 
furnished. 
‘‘(ii) An identification of the treating 
physician, including the name, Medicare 
provider number, address, and telephone 
number. 
‘‘(iii) Signature of the physician iden-
tified in (ii). 
‘‘(iv) A description of such orthotics 
or prosthetics. 
‘‘(v) Any billing code identifying such 
orthotics or prosthetics. 
‘‘(vi) Diagnosis codes, a description of 
the beneficiary’s medical and functional 
condition, and information about the need 
for the orthotics or prosthetics. 
‘‘(vii) Any other administrative infor-
mation identified by the Secretary. 
‘‘(B) 
INFORMATION
ON
CODING
AND 
DESCRIPTORS OF COMPONENTS PROVIDED.—If 
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an orthotist or prosthetist distributes a detailed 
written order for orthotics or prosthetics, the 
orthotist or prosthetist also shall list on the 
order 
the 
HCPCS 
codes 
and 
summary 
descriptors of the items and services being rec-
ommended prior to distribution of such order to 
the treating physician. 
‘‘(C) WRITTEN PHYSICIAN ORDER.—A de-
tailed written order for orthotics or prosthetics 
must be signed by the treating physician identi-
fied in (a)(ii) of this subsection, and be included 
in the orthotist or prosthetist’s order. 
‘‘(3) LIMITATION ON PATIENT LIABILITY.—If 
an orthotist or prosthetist— 
‘‘(A) furnishes an orthotic or prosthetic to 
a beneficiary for which no payment may be 
made under this part; or 
‘‘(B) subject to section 1879, furnishes an 
orthosis or prosthesis to a beneficiary for which 
payment is denied under section 1862(a)(1) of 
this title, 
any expenses incurred for such orthotics or pros-
thetics furnished to an individual by the orthotist or 
prosthetist not on an assigned basis shall be the re-
sponsibility of such orthotist or prosthetist. The in-
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dividual shall have no financial responsibility for 
such expenses and the orthotist or prosthetist shall 
refund on a timely basis to the individual (and shall 
be liable to the individual for) any amounts collected 
from the individual for such items and services. The 
provisions of subsection (a)(18) of this section shall 
apply to refunds required under the previous sen-
tence in the same manner as such provisions apply 
to refunds under such subsection. 
‘‘(4) PATIENT
LIABILITY.—If an orthotist or 
prosthetist furnishes an orthotic or prosthetic to a 
beneficiary for which payment is denied in advance 
under subsection (a)(15) of this section, expenses in-
curred for such orthotic or prosthetic furnished to 
the beneficiary by the orthotist or prosthetist shall 
be the responsibility of the beneficiary. 
‘‘(5) DEFINITIONS.—For purposes of this para-
graph— 
‘‘(A) ‘Orthotist or prosthetist’ shall mean 
an individual who is specifically trained and 
educated in the provision of, and patient care 
management related to, prosthetics and custom- 
fabricated or custom-fit orthotics, and— 
‘‘(i) in the case of a State that pro-
vides for the licensing of orthotists and 
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prosthetists, is licensed by the State in 
which the orthotics or prosthetics were 
supplied; or 
‘‘(ii) in the case of a State that does 
not provide for the licensing of orthotists 
and prosthetists, is certified by the Amer-
ican Board of Certification in Orthotics, 
Prosthetics and Pedorthics, Inc. or by the 
Board of Certification/Accreditation, Inter-
national, or certified and approved by a 
program that the Secretary determines has 
certification and approval standards that 
are essentially equivalent to those of such 
Boards listed in this subsection. 
‘‘(B) ‘Orthotics and prosthetics’ shall have 
the meaning given such term in 1834(h)(4)(C). 
‘‘(C) ‘Detailed Written Order for orthotics 
or prosthetics’ shall mean a form or other docu-
ment prepared by an orthotist or prosthetist 
and signed by the physician (as defined by sec-
tion 1861(r) of the Social Security Act) that 
contains information required by the Secretary 
to be submitted to show that an orthotic or 
prosthetic is reasonable and necessary for the 
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treatment of an illness or injury or to improve 
the functioning of a malformed body member.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the date of enactment of 
this Act, and apply to items and services furnished on or 
after such date. 
SEC. 8. GREATER ACCOUNTABILITY AND TRANSPARENCY 
OF RECOVERY AUDIT CONTRACTORS. 
(a) IN GENERAL.—Section 1893(h) of the Social Se-
curity Act (42 U.S.C. 1395ddd(h)) is amended by adding 
at the end the following: 
‘‘(9) PUBLIC REPORTING OF RECOVERY AUDIT 
CONTRACTOR PERFORMANCE.— 
‘‘(A) IN GENERAL.—With respect to each 
recovery audit contractor with a contract under 
this section for a contract year the Secretary 
shall publish on the Internet website of the 
Centers for Medicare & Medicaid Services the 
following information with respect to the per-
formance of each such recovery audit con-
tractor: 
‘‘(i) Audit rates. 
‘‘(ii) Appeals outcomes rates at each 
stage of the appeals process under section 
1869. 
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