In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.

SECTION 1. SHORT TITLE.

This Act may be cited as the ''Medicare Billing Abuse Prevention
Act of 1995''.

SEC. 2. FINDINGS.

The Congress finds that--
(1) the General Accounting Office has reported that the use
of commercial software to detect billing code abuse by medicare
supplementary medical insurance program carriers may save the
taxpayers $2,000,000 per day; and
(2) prompt use of such software may be impeded by
regulatory requirements which are not related to efficient
implementation of the medicare program.

SEC. 3. IMPLEMENTATION OF GENERAL ACCOUNTING OFFICE RECOMMENDATIONS
REGARDING MEDICARE CLAIMS PROCESSING.

(a) In General.--Not later than 90 days after the date of the
enactment of this Act, the Secretary shall, by regulation, contract,
change order, or otherwise, require medicare carriers to acquire
commercial automatic data processing equipment (in this Act referred to
as ''ADPE'') meeting the requirements of section 4 to process medicare
part B claims for the purpose of identifying billing code abuse.
(b) Supplementation.--Any ADPE acquired in accordance with
subsection (a) shall be used as a supplement to any other ADPE used in
claims processing by medicare carriers.
(c) Standardization.--In order to ensure uniformity, the Secretary
may require that medicare carriers that use a common claims processing
system acquire common ADPE in implementing subsection (a).
(d) Implementation Date.--Any ADPE acquired in accordance with
subsection (a) shall be in use by medicare carriers not later than 180
days after the date of the enactment of this Act.

SEC. 4. MINIMUM SOFTWARE REQUIREMENTS.

(a) In General.--The requirements described in this section are as
follows:
(1) The ADPE shall be a commercial item.
(2) The ADPE shall surpass the capability of ADPE used in
the processing of medicare part B claims for identification of
code manipulation on the day before the date of the enactment
of this Act.
(3) The ADPE shall be capable of being modified to--
(A) satisfy pertinent statutory requirements of the
medicare program; and
(B) conform to general policies of the Health Care
Financing Administration regarding claims processing.
(b) Minimum Standards.--Nothing in this Act shall be construed as
preventing the use of ADPE which exceeds the minimum requirements
described in subsection (a).

SEC. 5. DISCLOSURE.

(a) In General.--Notwithstanding any other provision of law, and
except as provided in subsection (b), any ADPE or data related thereto
acquired by medicare carriers in accordance with section 3(a) shall not
be subject to public disclosure.
(b) Exception.--The Secretary may authorize the public disclosure
of any ADPE or data related thereto acquired by medicare carriers in
accordance with section 3(a) if the Secretary determines that--
(1) release of such information is in the public interest;
and
(2) the information to be released is not protected from
disclosure under section 552(b) of title 5, United States Code.

SEC. 6. REVIEW AND MODIFICATION OF REGULATIONS.

Not later than 30 days after the date of the enactment of this Act,
the Secretary shall order a review of existing regulations, guidelines,
and other guidance governing medicare payment policies and billing code
abuse to determine if revision of or addition to those regulations,
guidelines, or guidance is necessary to maximize the benefits to the
Federal Government of the use of ADPE acquired pursuant to section 3.

SEC. 7. DEFINITIONS.

For purposes of this Act--
(1) The term ''automatic data processing equipment'' (ADPE)
has the same meaning as in section 111(a)(2) of the Federal
Property and Administrative Services Act of 1949 (40 U.S.C.
759(a)(2)).
(2) The term ''billing code abuse'' means the submission to
medicare carriers of claims for services that include procedure
codes that do not appropriately describe the total services
provided or otherwise violate medicare payment policies.
(3) The term ''commercial item'' has the same meaning as in
section 4(12) of the Office of Federal Procurement Policy Act
(41 U.S.C. 403(12)).
(4) The term ''medicare part B'' means the supplementary
medical insurance program authorized under part B of title
XVIII of the Social Security Act (42 U.S.C. 1395j-1395w-4).
(5) The term ''medicare carrier'' means an entity that has
a contract with the Health Care Financing Administration to
determine and make medicare payments for medicare part B
benefits payable on a charge basis and to perform other related
functions.
(6) The term ''payment policies'' means regulations and
other rules that govern billing code abuses such as unbundling,
global service violations, double billing, and unnecessary use
of assistants at surgery.
(7) The term ''Secretary'' means the Secretary of Health
and Human Services.
Medicare Billing Abuse Prevention Act of 1995 - Directs the Secretary of Health and Human Services to require Medicare carriers to acquire commercial automatic data processing equipment (ADPE) meeting specified requirements to process Medicare part B (Supplementary Medical Insurance) claims for the purpose of identifying billing code abuse and implement such ADPE by a certain date.
Provides for the disclosure of ADPE and related data under limited circumstances.
Requires the Secretary to order a review of existing regulations, guidelines, and other guidance governing Medicare payment policies and billing code abuse to determine if revision is necessary to maximize the benefits resulting from the use of ADPE.