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Links



Helpful Links

Affordable Care Act Regulations and Guidance Links



ERISA Links



After The Election: A Consumer’s Guide to The Health Law 

DOL PPACA Regulations and Guidance

DOL FAQs About The Benefit Claims Procedure Regulation

FAIR HEALTH MEDICAL COST LOOKUP

DOL: PPACA & ERISA Claims Regulations Assistance and Complaints Webpage


HealthCare.gov
Take Health Care into your own hands

Health Care Fraud Prevention and Enforcement Action Team Provider Compliance Training
OIG: Fraud and abuse prevention brainstorming

DRIVING POSITIVE CHANGE OIG Strategic Plan 2014-2018  -OUR GOALS: Fight Fraud Waste & Abuse, Promote Quality, Safety & Value, Secure the Future, Advance Excellence & Innovation

OFFICE OF INSPECTOR GENERAL- U.S. Dept. of Health and Human Services FY2015-Work-Plan -The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG)
Work Plan for fiscal year (FY) 2015 summarizes new and ongoing reviews and activities that OIG plans to pursue with respect to HHS programs and operations during the current fiscal year and beyond

NPR: More Scrutiny for Obamacare



HEALTH REFORM IN ACTION
Health reform makes health care more affordable, holds insurers more accountable, expands coverage to all Americans and makes our health system sustainable.

Powers and Pitfalls of Fee For Service payment models

Patient Protection and Affordable Care Act (ACA): Resources for Frequently Asked Questions


  • Out Of Network Healthcare Reimbursement Compliance Program

    For many hospitals and providers, “out of network” may mean “out of luck” as they face an increasing number of payers issuing total claims denials and overpayment recoupments worth millions of dollars. AVYM has developed the 2013 Out-Of-Network Healthcare Reimbursement Compliance Program (OHR), focusing on compliance. The new protocol consists of two onsite programs and is based on the most recent federal and state judicial decisions and regulatory guidance.