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The CAT Act of 2025 amends Medicare law to increase transparency and due process when the Centers for Medicare & Medicaid Services (CMS) suspends payments to healthcare providers pending investigation of fraud allegations. The bill requires CMS to notify providers at least 30 days before suspending payments, specifying the nature, date, and basis of each fraud allegation, and to provide monthly updates on investigation findings and timelines. It limits initial payment suspensions to 180 days unless CMS determines good cause for extension, excludes mere billing errors from triggering suspensions, and requires CMS to establish an independent appeals process for suspended providers. The bill also mandates annual congressional reports on payment suspension data and investigation outcomes.
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