Medicare Fraud Detection and Deterrence Act of 2023

The Medicare Fraud Detection and Deterrence Act of 2023 requires the federal government to deactivate Medicare provider identifiers for entities excluded from federal health programs, with automatic reactivation when exclusions end. It mandates that Medicare Advantage plans include valid provider identifiers for specific services like durable medical equipment, lab tests, and home health care in their billing data, rejecting incomplete submissions. Additionally, the bill requires a new claims modifier for telehealth services to identify relationships between providers and telehealth companies, ensuring payment only for services properly linked to the provider. These provisions directly affect Medicare providers, Medicare Advantage plans, and telehealth companies by strengthening fraud prevention through better tracking and data verification.