Affordable Care Act Regulations and Guidance
Hanover Park, IL (PRWEB) June 28, 2010
ERISAclaim.com announced the nation's first new Health Reform Law, PPACA, Claim Denial Appeal CD Book, for healthcare providers to meet the compliance deadline for Sept. 23, 2010, and to appeal claim denials and delays under new Health Reform Law, Patient Protection And Affordable Care Act, PPACA, going into effect on Sept. 23, 2010 for all group health plans and healthcare providers. Since HHS, DOL and IRS released the first set of Interim Final Rules on June 17, 2010 for implementing PPACA by Sept. 23, 2010, Federal government has practically initiated enforcement historical clock envisioned by President Obama. All healthcare providers, physicians and hospitals, without PPACA compliance by Sept. 23, 2010 will be found in violation of PPACA with unexpected claim denials by health plans under PPACA. According to the new PPACA Fact Sheet published by DOL, HHS and IRS, new PPACA will cover 193 million people, and PPACA mandates new PPACA (ERISA & NAIC) Appeal Process.
New Health Reform Law, PPACA, Claim Denial Appeal CD Book is published with 9 year success based on ERISAclaim.com's ERISA Appeal CD Book & System, as the only ERISA Appeal Book for health providers in the country in the past 35 years. The PPACA / ERISA Appeal CD Book is priced at $450 and available now from ERISAclaim.com web site. The healthcare providers who used ERISAclaim's ERISA CD Book appeal letters have won a recent major federal court decision in the largest historical ERISA provider class action lawsuit with court permission to proceed against almost all Blue Cross and Blue Shield Entities in the now popular overpayment recoupment dispute. The court affirmed all of the ERISA appeal legal points from the actual appeal letters, according to Dr. Jin Zhou, author of the Book and President of ERISAclaim.com.
The Court Case is Pennsylvania Chiropractic Association et al. vs. Blue Cross Blue Shield Association et al., Case #: 1:09-cv-05619, on May 17, 2010. A copy of the federal court ruling is available at:
A copy of the Press Release from the lead class plaintiff law firm is available at:
Dr. Zhou further explained that the SEC. 2719 of PPACA has adopted ERISA claim regulation, in its entirety, the 35 year old ERISA law and the "established process", for PPACA internal appeal process, and NAIC Review Model as External Appeal Process that is binding for all health plans.
According to Dr. Jin Zhou, his company has been teaching weekly and monthly webinars on PPACA ever since PPACA was enacted on March 23, 2010, attended by professionals from every segment of the industry with great success. There have been strong awareness and demand by hospitals for PPACA compliance by Sept 23, 2010, especially when hospitals are faced with new Medicare fee cut and increasingly disappointing reimbursement by managed care payers.
Dr. Jin Zhou also alerted all healthcare providers that Federal Government, DOL, HHS and IRS have issued new sets of regulations to implement and enforce PPACA, and PPACA federally mandates ERISA appeal process for all group health plans and healthcare providers. More new Federal Regulations are released at DOL and HHS web sites:
"Affordable Care Act Regulations and Guidance" (http://www.dol.gov/ebsa/healthreform/)
As Dr. Zhou noted from DOL, HHS & IRS PPACA Fact Sheet, The New PPACA on Sept. 23, 2010 will cover about 133 million people under self-insured health plans, 43 million under fully insured plans, and 17 million under individual market. A total of 193 million people will be governed under PPACA on Sept. 23, 2010, and an estimated 32 million more will be covered under PPACA by 2014. No hospital can afford to ignore 193 million people's healthcare coverage and possible reimbursement, said Dr. Jin Zhou.
DOL Fact Sheet: Keeping the Health Plan You Have: The Affordable Care Act and "Grandfathered" Health Plans (U.S. Department of Labor), June 14, 2010
HHS Fact Sheet: The Affordable Care Act's New Patient's Bill of Rights (U.S. Department of Health & Human Services), June 22, 2010
In the past 10 years in USA, 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, the President of ERISAclaim.com has been referred to as "the Godfather of ERISA Claims" for providers in the healthcare industry.
For more information, please visit http://www.erisaclaim.com/products.htm, or contact Dr. Jin Zhou, president of ERISAclaim.com, at 630-808-7237.