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Seminar Schedules in IL, VA, NC

  
 

 
 

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Moukawsher & Walsh, LLC
Pension and Employee Benefit Law
 Benefitlawyers.com
 
 

Pomerantz Haudek Block Grossman & Gross LLP ("PHBG&G")

ERISA and Healthcare-Related Class Actions

 
 
 

  The Virginia Society of Chiropractic

Presents…

The ADVANCED Program of Insurance Appeals

With Drs. Zhou & Bakis

7 hours of CE Type 1 Hours pending through Sherman College of Straight Chiropractic

Sponsored by the VSC and insurance relations committee.

Co-sponsored by the ICA.

Call (888) 639-4872 for more information

"If you have EVER been denied a claim for 'necessity' or had even 1 claim reduced based on mythical 'UCR's', you need to be at this program" 

  • Take this unique opportunity to bullet-proof your insurance collections with
    Expert Knowledge     of Federal ERISA Law.

  • You’ll get Unprecedented Information to help you properly appeal your claims.

  • Join the growing ranks of Chiropractic offices that are willing to fight back for
    proper and fair payment for the services that they render.

 This powerful and unprecedented program of handling insurance appeals will provide you not only with vital new protection from the NEW FEDERAL REGULATIONS, but also the best techniques in performing legally effective appeals that get results.  This unique program is the first and only program in the country that teaches doctors and their staff how to use existing ERISA laws in their claim procedures.  Most doctors have been hopeless victims of insurance denials by ERISA. Let us teach you how to turn the table to your advantage.

Saturday, July 13th

9:00 – 6:00 P.M.

Location:      Holiday Inn/Crossroads- Richmond, VA
2000 Staples Mill Road   (804) 359-6061

 

Pre-Registration:

VSC/ICA Members

$99

 

Non-Members        

$150

 

Additional Staff Member

$50

 

 Up to 3 Staff

$75

Late Registration:  

After July 5th

add $50  

 

 Name:                                            Office Name:

Address:                                           City Name:                                         Zip Code:

 Phone #:                      Fax #:                           E-Mail:

2002 VSC/ICA Member                Non-Member            Staff                       Total Amount:
(Checks made out to VSC)


Visa/Mastercard                                                                              Exp. Date:
 

 
Signature                                            Staff Name(s)

Please Fax Information: (540) 769-0128 or

Mail to: VSC, 908 Colorado Street, Salem, VA  2415

Call (888) 639-4872 for more information

 Why ERISA Seminars for Health-care Providers???

Virginia Protections

RUSH PRUDENTIAL HMO, INC. v. MORAN [00-1021]

U.S. Supreme Court, Decided June 20, 2002

Analysis: Supreme Court Decision Means States Can Help Fight HMOs (AP via Yahoo! News)

Virginia Patients' Rights:
External Review 2000
50 State Comparisons:
Virginia Yes Applies to any health plan.
Type of Grievance: Any denial of services.
Filing Time Limit: None.
Filing Fee: $50.
State Authority: The Bureau of Insurance.
Other Requirements: Minimum loss $300.

Virginia State Recognition of URAC Accreditation
Virginia
-Health Network
-Health Plan
-Health UM

Requirement for compliance with the Health Utilization Management Standards of the American Accreditation healthcare Commission (URAC), URAC Version 3 (pdf)

Code of Virginia   Title 38.2 - INSURANCE.

Chapter 58 Managed Care Health Insurance Plans (38.2-5800 thru 38.2-5811)
Chapter 59 Independent External Review of Adverse Utilization Review Decisions (38.2-5900 thru 38.2-5905)

Virginia Administrative Code Searchable database.
12VAC5-408-360. Utilization review and management.
Virginia Administrative Code search result for Utilization Review

 

Seminar Schedules in IL, VA, NC

Associations for Physicians, Hospitals, Health-care Providers

We are willing to work with any associations with your co-sponsorship and significant discount for tuitions and reference books. You may e-mail or telephone for more details.

$10,600 ERISA Claim
Recent Federal Court Ruling in a Case with $10,600 medical claim, insurance Co. refused to pay, provider made numerous demand for payment in almost one year, but no appeals filed, the court dismissed the lawsuit because provider failed to exhaust administrative remedy, as required under ERISA, by filing ERISAclaim appeals.  This situation is so popular in health-care community.

 

 

$37,350 ERISA Claim
Health-care provider alleged medical claims submitted to Aetna for reimbursement, Aetna asserted no receipt of medical claims, no written denials.  Health-care provider failed to present proof of claim submission, claim denial and ERISA claim appeals. This case was dismissed. ERISA health-care claims are handled in federal court, state law is generally not applicable.

 

 

 

 

 
   
   

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