Medicare Fraud Detection and Deterrence Act of 2025

HR 1784, the Medicare Fraud Detection and Deterrence Act of 2025, requires Medicare to deactivate unique health identifiers for providers excluded from federal health programs due to fraud or abuse. It mandates that Medicare Advantage plans include valid provider identifiers for specific services like durable medical equipment, lab tests, and telehealth claims, rejecting submissions without them. The bill also creates a new claims modifier to identify telehealth services provided by providers contracted with telehealth companies (but not those offering in-person care). These changes aim to prevent fraud by ensuring only active, verified providers receive payment for covered services.