Free Webinars on 2011 New Federal Health Claims Denials & Appeals Laws – Reimbursement Mandates Under PPACA

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ERISAclaim.com Announced New Webinar Schedules for 2011 New Federal Health Claims Denials & Appeals Laws, New PPACA Mandates All Group Health Plan & Individual Market Claims, Effective on 09/23/2010 with a Deadline on July 01, 2011 as Full Enforcement Grace Period. Any Failure to Comply with PPACA by Health Providers Will Result in More Denials and Loss of Rights to Appeal.

PPACA claims regulations will govern all claims processing, reimbursement, denials and appeals for almost all healthcare claims outside Medicare and Medicaid, the most significant reimbursement law changes in 45 years since Medicare was created.

On March 04, 2011, ERISAclaim.com announced new free webinar schedules for “2011 New Federal Health Claims Denials & Appeals Laws”, new PPACA mandates all group health plan & individual market claims, effective on 09/23/2010 with a deadline on July 01, 2011 as full enforcement grace period. These Webinars are designed to assist all healthcare providers and hospitals to meet the deadline of July 01, 2011 for PPACA mandates and compliance, while the doctors and hospitals nationwide are essentially unprepared now, and otherwise will be in violations of PPACA after July 01, 2011. Any failure to comply with PPACA by health providers will result in more denials and loss of rights to appeal claims denials and delays. ERISAclaim.com’s Webinars are free to all, and can be arranged for large provider organizations, institutions or state and national associations.

A free Webinar Handout is available at: http://www.erisaclaim.com/Free_ERISA_PPACA.pdf

“While claims reimbursement & denials remained No. 1 challenge for the most providers and hospitals, the No. 1 priority to protect and ensure claims payments under new federal law, PPACA, has been failed or ignored by doctors and hospitals across the nation, even as the federal mandates,” said Dr. Jin Zhou, President of ERISAclaim.com, a national expert on ERISA and PPACA appeals and compliance.

Fortunately, the healthcare industry is slowly but surely taking actions on PPACA’s Claims and Appeals Regulations, due to the painstaking advocacy efforts to comply with PPACA from Dr. Jin Zhou and his Company, ERISAclaim.com, the only educational and consulting company offering comprehensive ERISA and PPACA compliance and appeals for healthcare providers.

On Feb. 22, 2011, Northern California Chapter of the Healthcare Financial Management Association (HFMA) successfully held its first 2011 webinar on Health Reform Law 2011 Mandates For Claims Reimbursement & Appeals, taught by Dr. Jin Zhou of ERISAclaim.com. The Webinar attendees included HFMA members and non-members across the nation, ranging from CFO, Executive VP, Directors of Patient Financial Services, Controller, Managers of Managed Care, Audit Manager, Appeals Manager, Financial and Revenue Cycle Director, Supervisor, Billers, Coders, Office Managers and Consultants, from hospitals, provider’s offices, ASC’s and healthcare systems.

http://www.prweb.com/releases/2011/2/prweb8158388.htm

http://www.hfma-nca.org/documents/Claims%20Reimbursement%20and%20Appeals.pdf

PPACA Claims & Appeals Regulations Govern all group health plans, ERISA and non-ERISA, and individual market claims:

Interim Final Rules for Group Health Plans and Health Insurance Issuers Relating to Internal Claims and Appeals and External Review Processes Under the Patient Protection and Affordable Care Act; Interim Final Rule

http://webapps.dol.gov/FederalRegister/HtmlDisplay.aspx?DocId=24056&AgencyId=8&DocumentType=2

“SUMMARY: This document contains interim final regulations implementing the requirements regarding internal claims and appeals and external review processes for group health plans and health insurance coverage in the group and individual markets under the Patient Protection and Affordable Care Act. The regulations will generally affect health insurance issuers; group health plans; and participants, beneficiaries, and enrollees in health insurance coverage and in group health plans. The regulations provide plans and issuers with guidance necessary to comply with the law.

DATES: Effective date. These interim final regulations are effective on September 21, 2010.”

“(iii) Claimant. Claimant means an individual who makes a claim under this section. For purposes of this section, references to claimant include a claimant's authorized representative.”

PPACA’s new definition for claimant makes PPACA a new federal Provider’s Bill of Rights, as any healthcare provider with a valid designation of an authorized representative, regardless of participating status with managed care networks, is now legally regarded as a claimant, with same rights as the patient, explained Dr. Zhou.

PPACA Claims Regulations are also officially named as the new federal Patient’s Bill of Rights by Obama administration.

HHS, DOL & IRS: “Fact Sheet: The Affordable Care Act’s New Patient’s Bill of Rights”
http://www.healthreform.gov/newsroom/new_patients_bill_of_rights.html

July 01, 2011 is the deadline as full enforcement grace period for PPACA since its effective date on Sept. 23, 2010.

DOL technical release, No. 2010-02, on Sept. 20, 2010 sets forth an enforcement grace period until July 1, 2011 with respect to some of the additional standards set forth in the interim regulations in order to give plans and issuers more time to implement procedures and make changes to computer systems in order to comply fully.

http://www.dol.gov/ebsa/newsroom/tr10-02.html

Complete PPACA Claims and Appeals Regulations and Guidance can be found on DOL website:
http://www.dol.gov/ebsa/healthreform/

PPACA claims regulations will govern all claims processing, reimbursement, denials and appeals for almost all healthcare claims outside Medicare and Medicaid, the most significant reimbursement law changes in 45 years since Medicare was created.

Located in a Chicago suburb in Illinois, ERISAclaim.com is the only ERISA & PPACA consulting, publishing and website resource for healthcare providers in the country. ERISAclaim.com offers free webinars, basic and advanced educational seminars and on-site claims specialist certification programs for doctors, hospitals and commercial companies, as well as litigation support. Dr. Jin Zhou is regarded as the industry “Godfather of ERISA claims” for healthcare providers.

For schedules and registration of these free PPACA / ERISA Webinars: http://www.erisaclaim.com/Free_ERISA_Webnars.htm

For a free PPACA Webinar for your Organization or Institution, please contact Dr. Jin Zhou, President of ERISAclaim.com, at 630-808-7237.

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