I 
113TH CONGRESS 
1ST SESSION H. R. 2329 
To amend title XVIII of the Social Security Act to provide for a maximum 
period of 2 years for submissions of Medicare part B claims originally 
submitted by hospitals as Medicare part A claims and of 60 days for 
certain such submissions for one-day stays; and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 12, 2013 
Mr. SMITH of Nebraska (for himself, Mr. SAM JOHNSON of Texas, Mr. 
NUNES, Mr. TIBERI, Mr. ROSKAM, Mr. PRICE of Georgia, Mr. SCHOCK, 
Mrs. BLACK, Mr. REED, Mr. YOUNG of Indiana, Mr. KELLY of Pennsyl-
vania, Mr. BENISHEK, and Ms. JENKINS) introduced the following bill; 
which was referred to the Committee on Energy and Commerce, and in 
addition to the Committee on Ways and Means, for a period to be subse-
quently determined by the Speaker, in each case for consideration of such 
provisions as fall within the jurisdiction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to provide 
for a maximum period of 2 years for submissions of 
Medicare part B claims originally submitted by hospitals 
as Medicare part A claims and of 60 days for certain 
such submissions for one-day stays; and for other pur-
poses. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Administrative Relief 
and Accurate Medicare Payments Act of 2013’’. 
SEC. 2. MAXIMUM PERIOD OF 2 YEARS FOR SUBMISSIONS 
OF MEDICARE PART B CLAIMS ORIGINALLY 
SUBMITTED BY HOSPITALS AS MEDICARE 
PART A CLAIMS AND OF 60 DAYS FOR CER-
TAIN 
SUCH 
SUBMISSIONS 
FOR 
ONE-DAY 
STAYS. 
(a) TIMELY SUBMISSION AS CONDITION FOR PRO-
VIDER PAYMENT.— 
(1) IN GENERAL.—Section 1835 of the Social 
Security Act (42 U.S.C. 1395n) is amended— 
(A) in subsection (a)(1), by inserting be-
fore the semicolon the following: ‘‘or, in the 
case of a claim described in paragraph (1) or 
(2) of subsection (f), no later than the close of 
the period described in such respective para-
graph’’; and 
(B) by adding at the end the following new 
subsection: 
‘‘(f) For purposes of subsection (a)(1) and section 
1842(b)(3)(B)— 
‘‘(1) in the case of a claim not described in 
paragraph (2) for hospital services submitted under 
this part for which there was a previous claim as in-
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patient hospital services under part A that was de-
nied as not reasonable and necessary pursuant to 
section 1862(a)(1), the period described in this para-
graph is the period ending 2 calendar years after the 
date of service; and 
‘‘(2) in the case of a claim for hospital services 
submitted under this part for which there was a pre-
vious claim as inpatient hospital services under part 
A for a length of stay that does not include more 
than one midnight that was denied as not reasonable 
and necessary by a qualified independent contractor 
through a reconsideration conducted under section 
1869(c), the period described in this paragraph is 
the period ending 60 days after the date of receipt 
of the notice required under section 1869(c)(3)(C)(i) 
of the decision for such denial with respect to such 
reconsideration.’’. 
(2) CONFORMING AMENDMENT TO EXCEPTIONS 
AUTHORITY.—Section 1835(a) of such Act (42 
U.S.C. 1395n(a)) is amended in the last sentence by 
inserting ‘‘and the periods described in paragraphs 
(1) and (2) of subsection (f)’’ after ‘‘1 calendar year 
period specified in such paragraph’’. 
(b) APPLICATION TO REASONABLE CHARGE ADMIN-
ISTRATIVE PROVISION.— 
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(1) IN
GENERAL.—Section 1842(b)(3)(B) of 
the Social Security Act (42 U.S.C. 1395u(b)(3)(B)) 
is amended by inserting ‘‘or, in the case of a claim 
described in paragraph (1) or (2) of section 1835(f), 
no later than the close of the period described in 
such respective paragraph’’ after ‘‘date of service’’. 
(2) CONFORMING AMENDMENT TO EXCEPTIONS 
AUTHORITY.—Section 1842(b)(3) of such Act (42 
U.S.C. 1395u(b)(3)) is amended in the last sentence 
by inserting ‘‘and the periods described in para-
graphs (1) and (2) of section 1835(f)’’ after ‘‘1 cal-
endar year period specified in such paragraph’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to services furnished on or after 
October 1, 2013. 
SEC. 3. MAXIMUM LOOK-BACK PERIOD OF 3 YEARS FOR 
MEDICARE RECOVERY AUDIT CONTRACTORS’ 
AUDIT AND RECOVERY ACTIVITIES. 
(a) IN GENERAL.—Section 1893(h)(4)(B) of the So-
cial Security Act (42 U.S.C. 1395ddd(h)(4)(B)) is amend-
ed by striking ‘‘4 fiscal years’’ and inserting ‘‘3 fiscal 
years’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply with respect to payments made 
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for items and services furnished on or after October 1, 
2013. 
Æ 
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