PUBLIC LAW 109–171—FEB. 8, 2006
120 STAT. 43
program instruction or otherwise. There shall be no administrative or judicial review under section 1869 or section 1878 of the Social Security Act (42 U.S.C. 1395ff and 1395oo), or otherwise of the process (including the establishment of the process) under section 1833(g)(5) of such Act, as added by paragraph (1). (b) IMPLEMENTATION OF CLINICALLY APPROPRIATE CODE EDITS IN ORDER TO IDENTIFY AND ELIMINATE IMPROPER PAYMENTS FOR THERAPY SERVICES.—By not later than July 1, 2006, the Secretary of Health and Human Services shall implement clinically appropriate code edits with respect to payments under part B of title XVIII of the Social Security Act for physical therapy services, occupational therapy services, and speech-language pathology services in order to identify and eliminate improper payments for such services, including edits of clinically illogical combinations of procedure codes and other edits to control inappropriate billings.
Deadline. 42 USC 1395l note.
CHAPTER 2—MISCELLANEOUS SEC. 5111. ACCELERATED IMPLEMENTATION OF INCOME-RELATED REDUCTION IN PART B PREMIUM SUBSIDY.
Section 1839(i)(3)(B) of the Social Security Act (42 U.S.C. 1395r(i)(3)(B)) is amended— (1) in the heading, by striking ‘‘5-YEAR’’ and inserting ‘‘3YEAR’’; (2) in the matter preceding clause (i), by striking ‘‘2011’’ and inserting ‘‘2009’’; (3) in clause (i), by striking ‘‘20 percent’’ and inserting ‘‘33 percent’’; (4) in clause (ii), by striking ‘‘40 percent’’ and inserting ‘‘67 percent’’; and (5) by striking clauses (iii) and (iv). SEC. 5112. MEDICARE COVERAGE OF ULTRASOUND SCREENING FOR ABDOMINAL AORTIC ANEURYSMS.
(a) IN GENERAL.—Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended— (1) in subsection (s)(2)— (A) by striking ‘‘and’’ at the end of subparagraph (Y); (B) by adding ‘‘and’’ at the end of subparagraph (Z) and moving such subparagraph 2 ems to the left; and (C) by adding at the end the following new subparagraph: ‘‘(AA) ultrasound screening for abdominal aortic aneurysm (as defined in subsection (bbb)) for an individual— ‘‘(i) who receives a referral for such an ultrasound screening as a result of an initial preventive physical examination (as defined in section 1861(ww)(1)); ‘‘(ii) who has not been previously furnished such an ultrasound screening under this title; and ‘‘(iii) who— ‘‘(I) has a family history of abdominal aortic aneurysm; or ‘‘(II) manifests risk factors included in a beneficiary category recommended for screening by the United States Preventive Services Task Force regarding abdominal aortic aneurysms;’’; and
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