Ciscomani Pushes for Increased Transparency in Medicare Billing Codes
May 30, 2025
‘As we continue the meaningful work of safeguarding these vital benefits while reducing waste and increasing efficiency, we need to understand CMS’ processes and what is driving up Medicare costs and premiums’
WASHINGTON, D.C. — U.S. Congressman Juan Ciscomani reintroduced legislation to increase transparency with the Center for Medicare and Medicaid’s (CMS) billing codes.
Specifically, Ciscomani’s legislation, the Oversight of Medicare Billing Code Cost Act (H.R. 3580) directs the Office of Inspector General within the Department of Health and Human Services (HHS) to conduct a study of the processes and procedures used by CMS when determining Medicare billing codes. This would help identify inefficiencies, increase transparency, and provide patients, physicians, and policy makers greater insights into how billing decisions by CMS impact healthcare costs.
“Seniors in my district, and across the U.S., who are on Medicare deserve full transparency about their healthcare costs and coverage,” said Ciscomani. “As we continue the meaningful work of safeguarding these vital benefits while reducing waste and increasing efficiency, we need to understand CMS’ processes and what is driving up Medicare costs and premiums. My bill is a commonsense solution to identify trends and inefficiencies, reduce waste, and provide greater transparency to CMS’ process and the factors they consider when altering, removing, or approving new billing codes.”
Ciscomani is joined by Reps. Diana Harshbarger (R-TN) and Lloyd Smucker (R-PA) in this effort.
“We can’t allow unaccountable federal bureaucrats to jeopardize the well-being of Medicare beneficiaries,” said Harshbarger. “Even as Medicare faces financial instability, CMS has been expanding services without input from Congress—driving costs sky-high. The Oversight of Medicare Billing Code Cost Act is a practical solution that will help control runaway spending, bring much-needed transparency to the billing system, and ensure that Medicare patients and their benefits remain protected.”
“Congress and the American public deserve greater transparency into how the Centers for Medicare & Medicaid Services (CMS) modify billing codes,” said Smucker. “Understanding what drives program costs is essential—especially as Medicare faces insolvency in just over a decade. We must act urgently to shed light on CMS’s billing and coding processes, delivering an accountable system that the American people can fully trust.”
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Issues:
Health