LibGuides: Obamacare, or the Patient Protection and Affordable Care Act: Title VI: Transparency and Program Integrity

Subtitle A: Physician Ownership and Other Transparency

Section 6001: Limitation on Medicare Exception to the Prohibition on Certain Physician Referrals for Hospitals
Section 6002: Transparency Reports and Reporting of Physician Ownership or Investment Interests
Section 6003: Disclosure Requirements for In-Office Ancillary Services Exception to the Prohibition on Physician Self-Referral for Certain Imaging Services
Section 6004: Prescription Drug Sample Transparency
Section 6005: Pharmacy Benefit Managers Transparency Requirements

Part I: Improving Transparency of Information
- Section 6101: Required Disclosure of Ownership and Additional Disclosable Parties Information
- Section 6102: Accountability Requirements for Skilled Nursing Facilities and Nursing Facilities
- Section 6103: Nursing Home Compare Medicare Website
- Section 6104: Reporting of Expenditures
- Section 6105: Standardized Complaint Form
- Section 6106: Ensuring Staffing Accountability
- Section 6107: GAO Study and Report on Five-Star Quality Rating System
Part II: Targeting Enforcement
- Section 6111: Civil Money Penalties
- Section 6112: National Independent Monitor Demonstration Project
- Section 6113: Notification of Facility Closure
- Section 6114: National Demonstration Projects on Culture Change and Use of Information Technology in Nursing Homes
Part III: Improving Staff Training
- Section 6121: Dementia and Abuse Prevention Training

Section 6201: Nationwide Program for National and State Background Checks on Direct Patient Access Employees of Long-term Care Facilities and Providers

Section 6301: Patient-centered Outcomes Research
Section 6302: Federal Coordinating Council for Comparative Effectiveness Research

Section 6401: Provider Screening and Other Enrollment Requirements Under Medicare, Medicaid, and CHIP
Section 6402: Enhanced Medicare and Medicaid Program Integrity Provisions
Section 6403: Elimination of Duplication Between the Healthcare Integrity and Protection Data Bank and the National Practitioner Data Bank
Section 6404: Maximum Periof for Submission of Medicare Claims Reduced to Not More than 12 Months
Section 6405: Physicians Who Order Items or Services Required to Be Medicare Enrolled Physicians or Eligible Professionals
Section 6406: Requirement for Physicians to Provide Documentation on Referrals to Programs at High Risk of Waste and Abuse
Section 6407: Face to Face Encounter with Patient Required Before Physicians May Certify Eligibility for Home Health Services or Durable Medical Equipment Under Medicare
Section 6408: Enhanced Penalties
Section 6409: Medicare Self-Referral Disclosure Protocol
Section 6410: Adjustments to the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Suplies Competitive Acquisition Program
Setion 6411: Expansion of the Recovery Audit Contractor (RAC) Program

Section 6501: Termination of Provider Participation Under Medicaid if Terminated Under Medicare or Other State Plan
Section 6502: Medicaid Exclusion from Participation Relating to Certain Ownership, Control, and Management Affiliations
Section 6503: Billing Agents, Clearinghouses, or Other Alternate Payees Required to Register Under Medicaid
Section 6504: Requirement to Report Expanded Set of Data Elements Under MMIS to Detect Fraud and Abuse
Section 6505: Prohibition on Payments to Institutions or Entities Located Outside the United States
Section 6506: Overpayments
Section 6507: Mandatory State Use of National Coding Initiative
Section 6508: General Effective Date

Section 6601: Prohibition on False Statements and Representations
Section 6602: Clarifying Definition
Section 6603: Development of Model Uniform Report Form
Section 6604: Applicability of State Law to Combat Fraud and Abuse
Section 6605: Enabling the Department of Labor to Issue Administrative Summary Cease and Desist Orders and Summary Seizures Orders Against Plans That Are in Financially Hazardous Condition
Section 6606: MEWA Plan Registration with Department of Labor
Section 6607: Permitting Evidentiary Privilege and Confidential Communications