|
ERISAclaim.com Press
Release
FOR
IMMEDIATE RELEASE:
New Free Obama
Health Law Webinars Announced For Healthcare Providers and Health
Plans on New Reimbursement Laws for Claims Processing and Appeals
03-23-2010, Hanover Park, IL
The Final Health Reform Bill Has Been
Signed By President Obama Into The Law Of The Land For More Than 95%
Americans, As The Most Significant Changes Since Medicare Was Created
45 Years Ago. What Does Obama Healthcare Law Mean To Healthcare
Providers And Health Plans? New Free Webinars From ERISAclaim.com Was
Announced To Discuss New Federal Reimbursement Law Mandates For All
Group Health Plans And Health Care Providers: ERISA Internal And
External Appeals, Extended Disclosure And Appeal Rights, New Federal
UCR Fee Centers And New Federal Simplified, Uniform Standards For
Claim Processing And Appeals.
Hanover Park, IL (PRWEB) March 23, 2010 –
On March 23, 2010, President Obama signed into law the Senate Bill
passed in the House of Representatives, making this year-long debated
healthcare legislation into the law of land for more than 95% of
Americans, with most significant overhaul to U.S. healthcare delivery
system and reimbursement laws. What does this new Obama health law
mean to healthcare providers and health plans as well as TPAs? Lack of
Information, Misinformation and Frustrations are faced by all on New
Obama Health Reimbursement Laws. New free webinars are continued to be
offered from ERISAclaim.com on a daily, weekly and monthly basis to
help all involved with very specific and accurate statutory provision
reviews and discussions on all new Obama health law mandates for claim
appeals. Although the House amendment Bill to Senate Bill has to be
taken up by the Senate and signed into law by President Obama later
this week, statutory provisions on appeals and reimbursement laws were
not amended by the House, thus the Senate Bill signed by President
Obama is final for claims processing and appeals.
Free New Obama Health Law Webinars, as a
continuation of ERISAclaim.com monthly webinar for past two months on
the subject, will now be offered on daily basis for several weeks,
weekly basis for two months and monthly basis for the rest of 2010 in
the wake of the President Obama signing into law the most significant
healthcare reform in America and urgent and tremendous amount of
demand from healthcare providers and health plans. The time for each
free webinar is 60 minutes, from 11 AM to 12 PM central standard time.
Registration is free for all. The Webinar Handout is also available
and free to download at: http://www.erisaclaim.com/Free_ERISA_Webnars.htm.
According to Dr. Jin Zhou, president of
ERISAclaim.com, a national ERISA expert, and reimbursement compliance
consultant, contrary to popular misinformation, the Obama health law,
Patient Protection and Affordable Care Act, has established
significant consumer protections and plan claim processing and appeal
simplification to reduce administrative costs and enhance provider
reimbursement rights and patient protections. New Obama health law
incorporates or adopts existing ERISA claim regulation in its entirety
as internal ERISA appeal mandates, and Uniform External Review Model
Act promulgated by the National Association of Insurance Commissioners
as external ERISA appeal mandates as final and binding authority to
all parties, in absence of judicial appeals. New Obama health law
upgraded and extended existing ERISA appeal regulation with new EOB
requirements, greater patient and provider rights to access to entire
claim file and to present evidence and testimony as part of the
appeals process, and to receive continued coverage pending the outcome
of the appeals process. New Obama health law also established federal
UCR (Usual, Customary and Reasonable) fee center to track and publish
UCR fee schedules to the public, to end most commonly disputed
reimbursement nightmares for all parties. Every group health plan and
health care providers have six months after enactment of the act to
come into complete compliance with new Obama health reimbursement
laws. To ensure every patient and provider appeal rights, new Obama
health law provides consumer assistance on mandatory ERISA internal
and external appeals. More compliance and mandate information will be
discussed at the webinar.
“After the legislation becomes the law of
land for America health care, it is time for everyone who truly cares
about reimbursement and compliance to forget about yesterday's
legislation enthusiasm, set aside personal emotions and political
preferences, to get hands on today’s new reality, statutory and
regulatory compliance and reimbursement by learning and mastering new
rule of the game for health care reimbursement through compliance”,
said Dr. Jin Zhou, president of ERISAclaim.com.
Dr. Zhou also
explains that ERISA has been the only governing federal law for claims
denials and appeals procedures for about
176 million Americans covered under
employment-based health plans
for the past 35 years.
Although the
new Obama health law will not convert non-ERISA plans to statutorily
defined ERISA plans, this new health law will adopt existing ERISA
claim regulation and state external review model act from NAIC for
additional 32 million Americans.
ERISA Appeals
Are No Longer A Choice, But Mandates And Compliance For All.
Sec. 2719,
(a)(2)(A) of
Patient Protection and Affordable Care
Act provides the following:
‘‘(2) ESTABLISHED PROCESSES.—To comply
with paragraph (1)—
(A) a group health plan and a health
insurance issuer offering group health coverage shall provide an
internal claims and appeals process that initially incorporates the
claims and appeals procedures (including urgent claims) set forth at
section 2560.503-1 of title 29, Code of Federal Regulations, as
published on November 21, 2000 (65 Fed. Reg. 70256), and shall update
such process in accordance with any standards established by the
Secretary of Labor for such plans and issuers; and”
<http://thomas.loc.gov/cgi-bin/query/z?c111:H.R.3590.eas:>
ERISA Claim Regulation, the section
2560.503-1 of title 29, Code of Federal Regulations, as published on
November 21, 2000, can be found on the Website of Department of Labor,
DOL:
< http://www.dol.gov/ebsa/regs/fedreg/final/2000029766.htm>
The New Obama Healthcare Reimbursement
Law and ERISA Claim Specialist Certification Programs
and ERISA Appeal Department Programs were
also available from ERISAclaim.com because ERISA Internal and External
Appeals are now mandatory for all group health plans and healthcare
providers under new Obama Healthcare Reform Laws.
In the past 10 years, ERISAclaim.com has
been the only ERISA Specialized Company offering the most practical
and comprehensive ERISA education, consulting and publishing services
for healthcare providers in administrative ERISA appeals for real
problem oriented denials under the most mysterious 35-year-old federal
law, ERISA. Dr. Jin Zhou, president ERISAclaim.com has been regarded
as the Godfather of ERISA claims for healthcare providers by some in
Professional billing and coding industry.
For more information or to arrange an
interview, please contact Dr. Jin Zhou, president of ERISAclaim.com at
630-808-723 and ERISAclaim@aol.com or visit: <http://www.erisaclaim.com/Free_ERISA_Webnars.htm>
###
Contract:
Jin Zhou,
President
ERISAclaim.com
Tel:
630-808-7237 (Mobile)
Tel:
630-736-2974 (Office)
Fax:
630-736-1439
E-mail:
ERISAclaim@aol.com
website:
http://www.ERISAclaim.com
Related Links:
ERISAclaim.com: 50% Savings - Healthcare Crisis
Turnaround for Employers, Insurers & TPA's
ERISAclaim.com - A $1.0 Trillion Nuclear Solution
to U.S. Health-care Crisis & $44 Trillion Budget Deficits
American Benefits Council:
News Room - Supreme Court Ruling on Health Care Claims Raises Important
Policy Issues: American Benefits Council. June 21, 2004
"Sadly
and predictably trial attorneys and their allies are already calling on
Congress to unravel today’s decision by the Supreme Court, but they should
first ask why the two physicians in these cases did not act swiftly to help
make sure their patients got the care they were seeking.
In neither
case did the patient or their physician seek a further review of the health
plan’s initial coverage decision, despite being specifically informed of
their right to such a review under federal law."
Klein said."
"These
review procedures are available under ERISA
to help patients get the care they deserve, quickly and without having to
resort to costly and lengthy legal procedures. Clearly, a speedy and factual
review aided by the expertise of the physicians
involved with
these two cases could have avoided the need for the courts to be involved at
all,"
Klein said."
# # #
The American Benefits Council is the national
trade association for companies concerned about federal legislation
and regulations affecting all aspects of the employee benefits system.
The Council's members
represent the entire spectrum of the private employee benefits
community and either sponsor directly or administer retirement and
health plans covering more than 100 million Americans."
http://www.americanbenefitscouncil.org/issues/health/mischealth.htm
Lexology - Notes on the National Summit on Health Care Fraud
Reed Smith LLP,
Last
week, in my capacity as president of the
American Health
Lawyers Association, I attended the first
National Summit on
Health Care
Fraud,
a joint undertaking by the
U.S. Department of
Health and Human Services and the
U.S. Department of Justice. The conference brought together
private sector leaders, law enforcement personnel, and
health
care experts as part of the Obama Administration’s coordinated effort
to fight health
care fraud.
This was the first national gathering on
health
care fraud
between law enforcement and the private and public sectors."
STOP Medicare Fraud
- U.S. Department of Health & Human Services and U.S. Department of
Justice (http://www.stopmedicarefraud.gov)
"National
Summit on Health Care Fraud
U.S.
Department of Health and Human Services Secretary Kathleen Sebelius
and Attorney General Eric Holder convened a “National Summit on
Health Care Fraud” on Thursday January 28, to bring together leaders
from the public and private sectors to identify and discuss
innovative ways to eliminate fraud, waste and abuse in the U.S.
health care system. The National Summit is the latest initiative of
the Health Care Fraud Prevention & Enforcement Action Team (HEAT)."
Related Press Release links:
The New 2010 Obama
Healthcare Reimbursement Law Webinars Announced As ERISA Appeals
Procedures Now Mandatory for All Group Health Plans and Healthcare
Providers 01-04-2010, Hanover Park, IL
Free Overpayment Webinar Announced For
Self-insured Health Plans To Get Immediate Relief from New $1 Trillion
Overpayment Recoupment Embezzlement Market 11-23-2009,
Hanover Park, IL
New Healthcare
Overpayment Recoupment Embezzlement Recovery Service Announced In Wake
Of Launch of New Federal Task Force To Combat Healthcare Fraud Crisis 11-19-2009, Hanover Park, IL
The New Healthcare
Reform Bill Passed by The Congress Prompted The New Claim Specialist
Certification Class from ERISAclaim.com 11-9-2009, Hanover Park, IL
ERISAclaim.com
Announced The Nation's First Embezzlement Recovery Services for Large
ERISA Health Plans from the $6 Trillion Healthcare Denial Management
Market 10-23-2009, Hanover Park, IL
ERISAclaim.com Announced Free ERISA Webinar for Healthcare Overpayment
Dispute and Claim Denials in Response to Increasing High Demand from
the $6 Trillion Healthcare Denial Management Market
10-19-2009, Hanover Park, IL
ERISAclaim.com Announced the Expansion of Its ERISA Litigation Support
For the Healthcare Claims In Response to Increasing High Demand from
the $6 Trillion Healthcare Denial Management Market.
10-19-2009, Hanover Park, IL
ERISAclaim.com
Announced 2010 ERISA Seminars for Healthcare Overpayment and Claim
Denial Appeals for the $6 Trillion Healthcare Denial Management
Market.
10-14-2009, Hanover Park, IL
ERISAclaim.com
Announced the Nation's First Certification Program for the ERISA
Claim Appeal Specialist for Healthcare Providers and Managed-Care
Payers,
10-13-2009, Hanover Park, IL
Interactive Side-By-Side
Health Reform Comparison Tool of Major Proposals
(Kaiser Family Foundation)
Excerpt: "The Foundation has updated its health
reform resources to reflect provisions of the Affordable Health Care for
America Act (HR 3962) as passed on Saturday by the U.S. House of
Representatives."
Information updated 03/26/2010
|
