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"
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:
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 visit http://www.erisaclaim.com/Free_ERISA_Webnars.htm, or contact Dr. Jin Zhou, president of ERISAclaim.com, at 630-808-7237.