U.S. Healthcare Crisis Turnaround?

U.S. A.

$1.0 Trillion / Year

$$$ ERISA $$$

50% Savings

The Only Company with Compliant Solutions for All of You

Embezzlement Recovery Services (ERS)

for  Midsized and Large ERISA Health Plans

        “Anti-fraud initiative is not complete until and unless the recouped overpayment money originated from the plan assets is finally returned to the original self-insured health plans, or the fake anti-fraud crusaders are the real fraud culprit”, said Dr. Jin Zhou, the president of ERISAclaim.com

2009 Free Webinars

Register for a session now by clicking a date below:

Fri, Dec 4, 2009 1:00 PM - 2:00 PM CST

Mon, Dec 14, 2009 1:00 PM - 2:00 PM CST

All of Our ERISA Webinars are Free and 60 Minutes for Each Session. All Time Zone Is U.S. Central Standard Time.

Free Webinars on New Health Reform

for Healthcare Providers

1. No One Else Has Talked About How Both House and Senate Bills Will Harm or Protect Healthcare Providers for Their Reimbursement Rights, When Every One Is Talking About How The Health Bills Will Be Financed;

2. Both House and Senate Bills Have Complete Similarities On The Internal and External Appeal Laws For All Health Plans;

3. How Healthcare Providers Will Be Winning Or Losing Under The New U.S. Healthcare Reform Laws after 2009?

This is the only extensive analysis on both House and Senate Bills (they happened to be same) on Provider's Rights and our Reimbursement Rights after the New Year in the New Obama Health Laws,  when no one else in public has talked about this most important issue for all of us: How do WE, providers, get paid or protected.

New Health Reform

for Healthcare Providers

&

ERISA Basics &  Healthcare Claim Denial and Appeals

Register for a session now by clicking a date below:

Fri, Dec 4, 2009 1:00 PM - 2:00 PM CST

Mon, Dec 14, 2009 1:00 PM - 2:00 PM CST

ERISA Basics &  Healthcare Claim Denial and Appeals Free Webinar Topics To Be Covered PPT: 20 minutes, Q&A: 10 minutes = 30 minutes total

New U.S. Healthcare Reform Has Made ERISA Claim Regulation as the Claim Regulation for All Health Plans in the Future. The Latest U.S. Supreme Court Rulings On ERISA And Healthcare:  ERISA Governs Completely (100%) Claim Dispute And Denial For Benefits With All Employer Sponsored Plans, Both Self-Insured And Fully-Insured, And ERISA Pre-Empts Completely (100%) Any And All State Laws And Managed Care Contract For Claim Benefits Dispute. Federal Law, ERISA Basics, and Your Claims How To Identify ERISA Plans In 5 Seconds As Soon As Your Patients Completely Registrations; Statutory ERISA Definition On A "Denial", Any Payment Or Overpayment Refund Less Than 100% Claimed, How Can A Provider Completely Enjoy Or Be Entitled To The Same ERISA Rights (Verification, Direct Payment Without PPO And Appeal....) As Your Patients Under ERISA? How To Appeal Commonly Seen Healthcare Claim Denials Or Delays. Statutory ERISA Definition On A "Denial", Any Payment Or Overpayment Refund Less Than 100% Claimed, Overpayment Refund Demand = Retrospective Or Retroactive Benefits Denial = Triggers ERISA Appeal Process For Full And Fair Reviews, "Statute Of Limitation" Or Timeline Under Federal Law ERISA For Overpayment Denials, Burden Of Proof And Disclosure Obligations By The Payer; How To Appeal Overpayment Refund Denials Or Demand. Latest Nationwide ERISA & RICO Class Action Lawsuits By Providers Against Payers Over Overpayment Refund Dispute

Please send an E-mail to ERISAclaim@aol.com with your name, Co. professional title and contact info as well as the session you would like to attend, we will send you our Free Webinar Log-in Info.

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

"New Health Care Reform Bill, The Affordable Health Care for American Act, Was Passed by the House Of Representatives Saturday Night, and Is Expected to Be Signed into Law by the President Obama by the End of the Year with Absolute Confidence. ERISAclaim.com Announced the First Claim Specialist Certification Class Specifically for the Compliance with the New Federal Healthcare Law for 96% of Americans"

ERISAclaim.com Is Pleased to Announce Free ERISA Webinars for Healthcare Providers, Coding & Billings Professionals, Payers, TPA's & MCO Professionals, and Healthcare Attorneys.

We will have in-depth discussion at our free Webinars on why and how ERISA claim regulation will be incorporated in it entirety into the New Obama Health Plan for All, The Affordable Health Care for American Act, for 96% of Americans.

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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.

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.

Related links:

ERISAclaim.com: ERISA or non-ERISA Appeal? ERISA Appeal Fact Sheet

ERISAclaim.com - ERISA or PPO? Managed Care Slavery or ERISA Superhero

ERISAclaim.com - ERISA Appeals or Lawsuit with PPO Contract or Class-Action Settlement

ERISAclaim.com: ERISA or non-ERISA Appeal? ERISA Appeal Fact Sheet