to receive continued coverage pending the outcome of the appeals process
Hanover Park, IL (PRWEB) April 5, 2010
ERISAclaim.com is celebrating the success of its free Webinars on new healthcare reform and reimbursement laws, offered as soon as the House passed its version of the Health Bill, H.R. 3962, on Nov. 7, 2009, then Senate health Bill, H.R. 3560 on Christmas Eve., with almost identical provisions on providers reimbursement laws, or appeals procedures and rights. ERISAclaim.com stepped up its free Webinars from weekly to daily basis after President Obama signed into law the final reform bill on March 23, 2010 that provides unprecedented consumer protections with mandatory ERISA internal and external appeals and guaranteed consumers "to receive continued coverage pending the outcome of the appeals process". Healthcare providers from every segment of the industry attended these free Webinars with overwhelming surprises and satisfactions: Obama made an offer we can't refuse. ERISAclaim.com will continue its free Webinars on weekly basis for several weeks and monthly basis for the remaining of the year.
As commented by one of the Webinar attendees:
"Over the last five years I have attempted to understand the application of ERISA to the claims process. I have attended two seminars conducted by lawyers; several ERISA presentations by coding/billing organizations and the Oklahoma Labor Department, and studied information I obtained from DOL. The sum of this information raised more questions than it answered. After this webinar and having my questions answered, I felt for the first time, confident that I understood ERISA and its day-to-day application of the ERISA law to claims processes."
According to Dr. Jin Zhou, president of ERISAclaim.com, a national ERISA expert, and reimbursement compliance consultant, since March 23, 2010, President Obama signed into law the health reform bill, for more than 95% of Americans, with most significant overhaul to U.S. healthcare delivery system and reimbursement laws, health care providers and health plans alike are faced with lack of information, misinformation and frustrations on new Obama health reimbursement laws.
What does this new Obama health law mean to healthcare providers and health plans as well as TPAs?
Dr. Jin Zhou explained that contrary to popular misinformation, the Obama health law, Patient Protection and Affordable Care Act, PPACA, 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.
One of the most striking and powerful protections from PPACA for consumers is "to receive continued coverage pending the outcome of the appeals process", in addition to new ERISA External Appeals with binding authority to eliminate unpopular managed care PPO provider grievance process to decide provider's benefits disputes. This is definitely an Obama offer we can't refuse, even better than the failed Patient Bill of Rights promise, according to Dr. Zhou and some of the attendees.
As explained by Dr. Zhou, the 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.
As President Barack Obama explained this new ERISA Appeals on Jan 09, 2010 in his weekly address:
"And there will be a new, independent appeals process for anyone who feels they were unfairly denied a claim by their insurance company.
In short, once I sign health insurance reform into law, doctors and patients will have more control over their health care decisions, and insurance company bureaucrats will have less. All told, these changes represent the most sweeping reforms and toughest restrictions on insurance companies that this country has ever known."
New free webinars are continued to be offered from ERISAclaim.com on a 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. The time for each free webinar is 60 minutes, from 11 AM to 12 PM, or 1 PM to 2 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.
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 contact Dr. Jin Zhou, president of ERISAclaim.com at 630-808-723 or visit: http://www.erisaclaim.com/Free_ERISA_Webnars.htm
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