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ERISAclaim.com Press
Release
FOR
IMMEDIATE RELEASE:
New Webinars,
Seminars & Certification Classes Announced for New Federal Health
Claim Appeals Regulations on July 22, 2010 from HHS, DOL & Treasury
08/05/2010 Hanover Park, IL
New Webinars, Seminars & Certification
Classes Were Announced by ERISAclaim.com for New Federal Appeals
Regulations Issued on July 22, 2010 by HHS, DOL & Treasury for 193
million Americans. Effective 09/23/2010, New Federal Reimbursement
Laws Mandate ERISA Internal Appeals and NAIC External Appeals For All
Group and Individual plans With Six New & Most Powerful Consumer
Protections
Hanover Park, IL (PRWEB) August 05, 2010
– ERISAclaim.com announced the nation’s first series of new Webinars,
Seminars & Certification Classes for healthcare providers to comply
with new Federal Appeals Regulations issued on July 22, 2010 by HHS,
DOL and the Treasury. Effective 09/23/2010, all healthcare providers
must comply with new Federal Appeals Regulations affecting about 193
million Americans according to DOL, and simultaneously to comply with
existing Federal Appeals Regulations, ERISA, for about 176 million
Americans.
ERISAclaim.com has been offering these
educational Webinars, Seminars and Certifications Classes on ERISA for
10 years and on new Health Reform Laws since the Health Bill was
signed into law by President Obama on 03/23/2010. The new Federal
Appeals Regulations issued last week, on July 22, 2010, have provided
us with more complete and specific guidance on the practical appeals
for all healthcare providers. These ongoing Webinars, Seminars and
Certification Classes were scheduled on bi-weekly, monthly and
customer request basis to teach basic, practical and expert level of
appeals practice strictly in accordance with new and existing Federal
Appeals Regulations for all types of claim denials and delays.
“ERISAclaim.com has been the only
teaching and consulting company in the country in the past 10 years
that is offering comprehensive and advanced ERISA Appeals and PPACA
training programs for healthcare providers,” said Dr. Jin Zhou,
President of ERISAclaim.com.
Dr. Zhou further pointed out that
according to the News Release from HHS, DOL and the Treasury on July
22, 2010, accompanying the promulgation of new Federal Appeals
Regulations, a new federal grants program will provide States with $30
million to educate patients, general consumers, to learn how to do
ERISA internal and NAIC external appeals, and “on average, about 40
percent of denials are reversed on external appeal” as stated in the
preamble of the new Federal Appeals Regulations.
“If and when the patients can do appeals
to reverse more than 40% denials, yet our providers are still
wondering if we should even learn about ERISA and PPACA, or still
researching if ERISA or PPACA has anything to do with our
reimbursement, we shall be all fired”, said Dr. Zhou, in responding to
some confusions from providers as to whether the new Federal Appeals
Regulations have anything to do with providers or any teeth in
reality.
As Dr. Zhou shared with concerned but
confused providers, the preamble of the new Federal Appeals
Regulations estimated that about 193 million people will be affected
by these interim final regulations, 18% of large employer plans and
30% of small employer plans will relinquish grandfather status in
2011, and more than 10 million individuals each year are covered under
non-grandfathered policies. [Interim Final Rules, Page 43339-40]
<
http://www.dol.gov/federalregister/PdfDisplay.aspx?DocId=24056>
According to the News Release from HHS,
DOL and the Treasury on July 22, 2010:
“The new appeals regulations were
issued by the Departments of Health and Human Services (HHS), Labor,
and the Treasury. Consumers in new health plans in every State will
have the right to appeal decisions, including claims denials and
rescissions, made by their health plans. This includes the right to
appeal decisions made by a health plan through the plan's internal
process and, for the first time, the right to appeal decisions made
by a health plan to an outside, independent decision-maker, no
matter what state a patient lives in or what type of health coverage
they have.”
"The Affordable Care Act puts patients
in control of their healthcare," said HHS Secretary Kathleen
Sebelius. "Today, if your health plan tells you it won't cover a
treatment your doctor recommends, or it refuses to pay the bill for
your child's last trip to the emergency room, you may not know where
to turn. The Affordable Care Act provisions announced today will
provide patients with new important new rights and resources that
will help ensure they get the care they need."
"The appeals rules today will extend
important protections and simplify the system for consumers," said
Labor Secretary Hilda Solis. "And they will ensure that consumers in
new health plans have access to internal and external appeals
processes that are clearly defined, impartial, and designed to
ensure that, when health care is needed and covered, consumers get
it."
"The Affordable Care Act provisions
we're announcing today will ensure that consumers have access to a
fair, thorough and uniform appeals process if their claim is
denied," said Michael Mundaca, Assistant Treasury Secretary for Tax
Policy. "With these new patient protections, we're providing
consumers with another strong defense against insurance company
abuses."
<http://www.dol.gov/ebsa/newsroom/2010/ebsa072210.html>
More importantly, new Federal Appeals
Regulations will provide providers and consumers with immediate
protections and remedies by immediate external independent reviews and
lawsuit in the courts if the health plans failed to strictly adhere to
all requirements of the new Federal Appeals Regulations, concluded by
Dr. Zhou.
ERISAclaim.com is dedicated to helping
healthcare providers and hospitals come to complete compliance with
new Federal Appeals Regulations, by offering most comprehensive forms
of and advanced quality and expertise in Webinars, Seminars and
Certification Classes for the new Federal Appeals Regulations, for
compliant maximum reimbursement.
For more information, please visit
http://www.erisaclaim.com/Appeal_Department.htm, or contact Dr. Jin
Zhou, president of ERISAclaim.com, at 630-808-7237.
###
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 - Health Reform for
Out-Of-Network Providers: Receiving Insurance Checks Directly? – CD
Books & Seminars on Why
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
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