Resource Links

Health Care Reform

Non-Profit

Fraud & Abuse

CMS Resources

Managed Care

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Health Care Reform Resources

• Text of Patient Protection and Affordable Care Act
  
• Other Healthcare Reform Legislation Links
  
• Kaiser Family Foundation’s Side-by-Side Comparison of Major Health Care Reform Proposals
  
• President Obama’s Letter to Senators Kennedy and Baucus (June 2, 2009)
  
• Senate Committee Health Care Reform Draft Legislation (June 9, 2009) 
  
• Press Release for Senate Committee Draft Legislation (June 9, 2009)
  
• House Tri-Committee Health Care Reform Draft Legislation (June 19, 2009)
  
• Summary of House Tri-Committee Draft (June 19, 2009)
  
• CBO Letter Concerning Health Care Reform and the Federal Budget (June 12, 2009)
  
• CBO Letter to Senator Kennedy Regarding Preliminary Analysis of the Affordable Health Choices Act (June 15, 2009)
  
• CBO Letter Regarding Industry Stakeholder Proposals (June 16, 2009)
  
• Bipartisan Policy Center Health Care Reform Proposals (Former Senators Howard Baker, Tom Daschle, and Robert Dole)(June 17, 2009)
• Proposed Patient Centered Outcomes Research Act of 2009 (June 9, 2009)

Senate Finance Committee Policy Options (April 2009 – May 2009):

• Proposals to Improve Patient Care and Reduce Costs
  
• Proposals to Provide Affordable Coverage
  
• Proposed Health Savings and Revenue Options

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Managed Care Resources

• Health Insurer Settlements
• State of Wisconsin Officer of the Commissioner of Insurance
• Injured Patients and Families Compensation Fund
  
• Consumer's Guide to Managed Care Health Plans in Wisconsin
  
• Fact Sheet on Managed Care Consumer Protection in Wisconsin
  
• Statewide Expansion of Managed Long-Term Care
• Medicare Managed Care Manual

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CMS Resources

• CMS Manuals 
  
• CMS Transmittals
  
• CMS Forms 
  
• CMS Recovery Audit Contractors (RAC)

Medicare Conditions of Participation

• Hospital Conditions of Participation

Hospital Outpatient PPS

• Hospital Outpatient PPS
  
• Other OPPS Resources
  
• 2009 OPPS Final Rule

Acute Inpatient PPS

• Acute Inpatient PPS and Other IPPS Resources
  
• 2009 IPPS Final Rule
  
• 2010 IPPS Proposed Rule
  
• 2010 IPPS Supplemental Proposed Rule

Physician Fee Schedule

• Physician Fee Schedule 
  
• 2009 PFS Final Rule

Carriers/Fiscal Intermediaries

• National Government Services 
  
• Wisconsin Physician Services – Medicare

Wisconsin Medicaid Resources

• Forward Health Online Handbook

CMS Quality of Care Resources

• CMS Quality Resources 
  
• Hospital-Acquired Conditions 
  
• Physician Quality Reporting Initiative
  
• CMS Quality Initiatives 
  
• Joint Commission Sentinel Events
  

Wisconsin State Resources

• Wisconsin Dept. of Health Services Health/Medical Care Licensing
  
• DQA Assurance Memos
  
• Pharmacy Examining Board
  
• Medical Examining Board
  
• Board of Nursing
  
• Wisconsin Hospital Association

Accreditation Resources

• The Joint Commission
  
• Healthcare Facilities Accreditation Program

Medical Staff Resources

Wisconsin Peer Review Statutes and Reporting Requirements

• http://nxt.legis.state.wi.us/nxt/gateway.dll?f=templates&fn=default.htm&d=stats&jd=146.37(1g)
  
• http://nxt.legis.state.wi.us/nxt/gateway.dll?f=templates&fn=default.htm&d=stats&jd=146.37(1g)
  
• http://nxt.legis.state.wi.us/nxt/gateway.dll?f=templates&fn=default.htm&d=stats&jd=50.36
  
• National Association Medical Staff Services
  
• Wisconsin Association Medical Staff Services
  
• OIG Exclusions Search page 
  
• National Practitioner Data Bank Info 

Quality

• The National Committee for Quality Assurance
  
• Institute for Health Care Improvement
  
• Accreditation Counsel for Graduate Medical Education (ACGME)
  
• Clinical Practice Guidelines

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Non-Profit Issues

Form 990

• Redesigned Form 990 with Instructions
  
• “Preparing to File Form 990” (IRS online course)
  
• Form 990 Preparation Checklist
  
• Form 990 Filing Tips (Governance)
  
• Form 990 Filing Tips (Executive Compensation)

Executive Compensation

• Primer for Establishing Executive Compensation
  
• Compensation Issues for Exempt Organizations

Governance

• Governance and Related Topics for 501(c)(3) organizations
  
• Principles for Good Governance and Ethical Practice: A Guide for Charities and Foundations

Intermediate Sanctions

• CPE Text – Section 4958 Update (FY 2000)
  
• CPE Text – An Introduction to IRC § 4958 (FY 2002)
  
• CPE Text – Intermediate Sanctions (IRC § 4958) Update (FY 2003)
  
• CPE Text – “Automatic” Excess Benefit Transactions Under IRC § 4958 (FY 2004)

Conflicts of Interest

• CPE Text - Tax-Exempt Healthcare Organizations (FY 1997)
  
• CPE Text – Conflicts of Interest Policy (FY 2000)

IRS Resources for Health Law

• CPE Text – Whole Hospital Joint Ventures (FY 1999)
  
• CPE Text – Corporate Practice of Medicine (FY 2000)
  
• CPE Text – Health Care Joint Venture Arrangements (FY 2000)
  
• CPE Text – Update on Health Care (FY 2001)
  
• CPE Text – Update on Health Care (FY 2002)
  
• CPE Text - Health Care Provider Reference Guide (FY 2004)

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Fraud & Abuse

Fraud & Abuse The Stark Anti-Referral Laws and Regulations

• Stark II Phase I Rule
  
• Stark II Phase II Rule
  
• Stark II Phase III Rule
  
• Stark 2009 Physician Fee Schedule
  
• FY 2009 Hospital Inpatient Prospective Payment System (PPS) Final Rule
  
• Stark Regulations - Other
  Stark FAQ’s

Anti-Kickback Statute and Regulations

• Anti-Kickback Safe Harbor Regulations – 2002 to Present
  
• Anti-Kickback Safe Harbor Regulations – 1989 to 2002
  
• OIG Advisory Opinions
  
• OIG Alerts, Bulletins and Other Guidance
  
• OIG Fraud Prevention Website