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ERISAclaim.com Press
Release
FOR IMMEDIATE RELEASE:
ERISAclaim.com
Announced
the Nation's First Certification Program for the ERISA
Claim Appeal Specialist for Healthcare Providers and Managed-Care
Payers
Committed to
Compliant Education for Medical Claim Dispute Resolution
For the first
time in U.S. healthcare history, ERISAclaim.com is offering the
nation's first eight-day Certification Program for ERISA Claim Appeal
Specialist, starting from January 14-15, 2010, in Chicago Illinois,
for healthcare providers, managed-care third-party payers (TPA),
benefits administrators and healthcare attorneys as well as the state
regulators. This ERISA Certification Program is a comprehensive,
systematic and advanced problem-oriented interactive learning process,
designed to learn and master the most important federal law, ERISA,
which governs and regulates more than 90% of non-Medicare commercial
claims and more than 60% of healthcare claim denial reasons for the
past 35 years.
Hanover
Park, IL (PRWEB) October 13, 2009 -- For the first time in U.S.
healthcare history, ERISAclaim.com is offering the nation's first
eight-day certification program for ERISA Claim Appeal Specialist,
starting from January 14-15, 2010, in Chicago Illinois, for healthcare
providers, managed-care third-party payers (TPA), benefits
administrators and healthcare attorneys as well as the state
regulators.
ERISA,
Employee Retirement Income Security Act of 1974, is a federal law that
governs and regulates healthcare claims for estimated more than 170
million Americans who obtained health insurance or benefits from
employment in private sector, for both self-insured and fully-insured
(through purchase of insurance) health plans. ERISA law completely
(100%) preempts, supersedes and invalidates any and all state laws and
private managed-care contracts for PPOs and HMOs in any and all
dispute over denial of benefits from an ERISA plan. ERISA regulates
and governs healthcare claims which include the paid ERISA healthcare
claims in more than 50% of $2.4 trillion, 16.6% of GDP, of the
national health expenditure in 2008, and also include the denied
healthcare claims, legitimately or wrongly for appealable claims, in
more than 50% of $5 trillion in the aggregated denied healthcare
claims in 2008. More than 60-70% of healthcare claim denials from
insurance companies and managed-care third-party payers by
employer-sponsored plans are due to ERISA regulated plan or policy
coverage, limitations and exclusions rather than traditional billing,
coding, medical necessity and managed care contracting or
participation dispute. Although in the past 35 years the notices for
ERISA rights to appeal were written on almost every EOB (Explanation
of Benefits) in the daily practice in doctors' offices and hospitals,
the healthcare providers, managed-care third-party payers, and even
legal professionals as well as the state regulators rarely understood
how to conduct, manage or regulate ERISA claim appeals for ERISA claim
denials and disputes.
The
current Obama healthcare reform, regardless which version will
prevail, will increase ERISA coverage from current 74% of civilian
workers covered with health insurance under ERISA (as of March 2009)
to 100% covered civilian workers, to cover, as early as next year,
estimated more than 230 million civilian workers and their families.
And the new Obama Department Of Labor (DOL) has sworn in to change
federal ERISA enforcement from Bush's symbolic, "no teeth", ERISA
voluntary compliance assistance to strike-force, "New Sheriff", ERISA
enforcement on ERISA claim regulation, for healthcare claims from
employer-sponsored and new federal mandated health plans for more than
230 million Americans.
There
have been urgent and popular regulatory needs and market demands for
ERISA claim compliance education and training in this $6 trillion
healthcare denial management market.
ERISAclaim.com is offering the nation's first systematic,
comprehensive and advanced eight-day ERISA Certification Program for
ERISA Claim Appeals Specialist, starting from January 14, 2010, in
light of increasing managed-care claim denials and new explosive
litigations under ERISA and RICO in an era of skyrocketing healthcare
costs in the midst of unprecedented economic recession. ERISAclaim.com
is making U.S. healthcare history by teaching and training in this
most important Federal law for healthcare providers, managed-care
third-party payers (TPA), benefits administrators, healthcare
attorneys and the state regulators, in accordance with U.S. Supreme
Court rulings in Aetna v. Davila and ERISA claim
regulation.
ERISAclaim.com is currently the only company in the country that
provides comprehensive, systematic and advanced ERISA healthcare claim
education, consulting and publishing primarily for the healthcare
providers and industry consultants.
"If
ERISA Miranda's Rights to appeal for every claim denial is on every
denial notice daily in doctors' offices and hospitals for 35 years,
and according to U.S. Supreme Court, ERISA is the only correct way to
go for denied claims with ERISA plans, regardless of HMO or PPO, and
for cost of more than $1.2 trillion in paid ERISA claims each year,
and with more than least $3 - 4 trillion in denied ERISA claims, why
can't we do what Congress intended, Supreme Court instructed and each
daily denial notice explained, "ERISA Miranda's Rights" to appeal?",
said Dr. Jin Zhou, the president of ERISAclaim.com.
To
resolve daily medical claim dispute and healthcare crisis, Dr. Jin
Zhou suggested that the compliant ERISA benefits administration and
ERISA appeals by all parties are the best ways to reduce or eliminate
unnecessary healthcare wastes, costly and lengthy litigations. The
healthcare claim dispute is similar to the traffic accidents. With
voluntary traffic law compliance by the drivers and with meaningful
enforcement by our government, we can expect to live in a reasonable
safe environment. Without traffic law compliance by all drivers, we
will be living in a very dangerous environment. By the same token,
without ERISA claim appeal compliance by all parties and meaningful
enforcement from the federal government, we cannot expect claim
honesty, efficiency and fairness in healthcare delivery system.
ERISAclaim.com, located in northwestern suburb of Chicago, Illinois,
is an online publisher, consultant and educator for ERISA claim
education, training and consulting as well as claims recovery for
ERISA healthcare claims. It also provides ERISA litigation support,
research assistance and fraud and abuse prevention as well as PPO
auditing defense consulting. In addition to ERISA, ERISAclaim.com also
provides consulting and education for Medicare Claim Appeals
Specialist, for Medicare RAC overpayment appeals, fraud and abuse
prevention.
Dr. Jin
Zhou, the president of ERISAclaim.com, developed
the nation's first ERISA education and
practical appeal system for healthcare providers 10 years ago,
He has gained most comprehensive and unique practical experience
in training and consulting in ERISA claims for healthcare providers
for more than 10 years. Dr. Jin Zhou was sometimes referred to as the
"Godfather of ERISA Claims" for healthcare providers by some industry
experts.
For more
information or to arrange an interview, please visit
http://www.erisaclaim.com/Press_Release.htm or contact Dr. Jin Zhou, president of ERISAclaim.com, at 630-808-7237 or
ERISAclaim@aol.com.
###
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 Press Release links:
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
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