Helpful Links Affordable Care Act Regulations and Guidance Links [accordion title=”” close=”0″]Regulations on Internal Claims and Appeals and External Reviews Interim Final Rule Amendment to IFR Corrections NAIC Uniform External Review Model Act News Release Fact Sheet Key Features Public Comments Guidance, EOB’s & FAQ’s TR11-02 * TR11-01 TR10-02 * TR10-01 * EOB1 EOB2 * EOB3 FAQ I * FAQ II * FAQ III * FAQ IV * FAQ V * FAQ VI Consumer Assistance Programs Regulation Relating to Status as a Grandfathered Health Plan Regulation Fact Sheet on Regulation FAQ’s Summary Chart Preexisting Condition Exclusions Lifetime and Annual Limits Rescissions Patient Protections Regulation Fact Sheet Patient Protection Model Notice Lifetime Limits Model Notice Dependents Model Notice Extension of Coverage For Adult Children Regulation Fact Sheet FAQs IRS Guidance FAQs on Health Care Reform and COBRA [/accordion] [divider/] ERISA Links [accordion title=”” close=”0″] ERISA Claims Regulation – 29 CFR 2560.503-1 Regulation FAQ Fact Sheet Claims Guide Claims Card ERISA SPD Regulation – 29 CFR 2520.102-3 Amendments to Summary Plan Description Regulations Fact Sheet News Release SPD Rights Fact Sheet SPD from DOL [/accordion] [divider/] 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 [divider/] 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 [divider/] 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
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