ERISAclaim.com Press
Release
FOR
IMMEDIATE RELEASE:
The New Hospital ERISA Appeals Department
Program Announced for Hospital In-House Denial Management and
Financial Crisis Turnaround
02-08-2010, Hanover Park, IL
For The First Time In U.S. Health Care
History, ERISAclaim.com Announced The Nation’s First Hospital ERISA
Appeal Department Program To Provide Hospital With A Turn-Key Set-Up
Training For The In-House ERISA Appeals Department To Combat
Commercial Managed Care Denials, Overpayment Recoupment Crisis, And
Revenue Cycle Outsourcing Dilemmas For Hospital Survival, And ERISA
Compliance, In Wake Of The Latest AHA Report Of More Than $36
Billion Hospital Uncompensated Care Cost
Hanover Park, IL (PRWEB) Feb. 08, 2010 –
ERISAclaim.com announced nation’s first Hospital ERISA Appeals
Department Training Program to provide 5,815 hospitals with real
emergency resuscitations in revenue cycle, in the wake of latest Nov.
2009 American Hospital Association Report that uncompensated hospital
care costs reached more than $36 billions in 2008, and more than 60%
of the hospitals lose money providing patient care and one-third lose
money overall. In 2010, all hospitals are facing Medicare payment
cuts, unconscionable managed-care contracting with poor reimbursement,
and more uninsured care costs as well as endless alleged overpayment
refunds withholdings and Medicare RAC paybacks.
ERISAclaim.com’s Hospital ERISA Appeals
Department Training Program is a turn-key emergency resuscitation
service for all hospitals to set up an ERISA fully compliant Appeals
Department, with on-site training of in-house Certified ERISA Claim
Specialists, without any traveling for hospital staff, enhanced with
short and long term live support from ERISAclaim.com for hospital
commercial and managed care claims denials and appeals process. The
ERISA Appeals Department Setup process can be started in weeks and
completed in about 30 days, at a price of even one of recovered
hospital claims.
ERISA, Employee Retirement and Income
Security Act of 1974, is a federal law, enacted by Congress in 1974.
ERISA Appeals Practice are statutory and regulatory for denied ERISA
claims for 80-90% of non-Medicare and Medicaid claims for about 170
million Americans, governing both self-insured and fully-insured
health plans, said Dr. Jin Zhou, the President of ERISAclaim.com, a
national leading expert in ERISA Appeals.
ERISA is the only federal law for 35
years, governing hospital revenue cycle and financial incomes from
commercial employment based hospital claims, according to a unanimous
U.S. Supreme Court in Aetna v. Davila. All state laws and managed care
contracts are completely pre-empted by federal law ERISA if
impermissibly connected ERISA plans. Among 5,815 registered hospitals
in the U.S., there has not been a single one hospital with fully
compliant ERISA Appeals Department, even after the ERISA appeals and
compliance warnings were given to the hospitals for 35 years on every
insurance claim denial EOB (Explanation Of Benefits), in every managed
care contract and insurance company’s Medical Policy, in every class
action settlement agreement and every federal court ruling for ERISA
claim disputes, especially a unanimous U.S. Supreme court. More than
80-90 percent of non-Medicare and Medicaid claims are ERISA claims in
USA.
“It doesn’t take a hospital CFO or biller
to ask Albert Einstein if a hospital should do ERISA appeals, when
ERISA appeals are mandatory under the federal laws for 35 years and
every EOB of denied claims has given you ERISA Miranda’s Right to
appeal at bottom or back page of the EOB’s”, according to Dr. Zhou.
“If ERISA Appeal is statutory and
regulatory, it is a mandate for any one who wanted to get paid by an
ERISA plan, according to U.S. Supreme Court in Aetna v. Davila in
2004. No one needs to ask around if a hospital should do ERISA as a
personal choice when ERISA is a federal law mandate”, as explained by
Dr. Zhou.
Dr. Zhou also reiterated that ERISA claim
regulation is only 7-pages long in the Federal Register, for 35 years,
hospital industry has never paid correct and serious attentions to or
take any proper actions to understand this 7-page federal law while
going through bankruptcies for some, and writing off tens of billions
of dollars of ERISA claim denials in the more than $36 billion
uncompensated hospital care costs for 60% of 5,815 hospitals, as
reported by AHA in Nov. 2009.
In recent Obama Healthcare Reform
legislation, both House and Senate Bills have adopted ERISA claim
regulation, in its entirety, the 35 year old ERISA law and the
“established process”, for about 170 million Americans with employment
based health insurance, as the new mandate for all group health plans
for proposed new universal health care for additional 30 million
uninsured Americans. Regardless of any passing of Healthcare Reform
Bills, every hospital must take immediate actions in established ERISA
appeals process for 35 years to secure a hospital’s financial
survival, as advised by Dr. Zhou.
ERISAclaim.com’s Hospital ERISA Appeals
Department program starts at $50,000 for up to 5 ERISA Claim
Specialists Certification training and 30-day live phone and Webinar
supports. Each additional ERISA Claim Specialist costs additional
$8,500. An additional six-month support starts at $50,000 and one-year
support at $100,000 for ERISA Appeals Department with trained ERISA
Claim Specialists.
ERISAclaim.com also provides ERISA Claim
Specialist Certification Training Classes for non-institutional
providers in major U.S. cities.
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.
ERISAclaim.com is dedicated to helping
hospitals with compliant ERISA appeals to get paid legally, for what
the working class Americans and their families are legally entitled to
under federal law ERISA and health plan provisions, to eliminate
billions of dollars in uncompensated care costs for hospitals and
prevent working American family from bankruptcies as a result of
unpaid medical bills, and to minimize revenue cycle outsourcing
dilemmas for hospitals already in financial respiratory failures.
For more information, please visit
http://www.erisaclaim.com/Appeal_Department.htm, or contact Dr.
Jin Zhou, president of ERISAclaim.com, at 630-808-7237.
###
Contract:
Jin Zhou,
President
ERISAclaim.com
Tel:
630-808-7237 (Mobile)
Tel:
630-736-2974 (Office)
Fax:
630-736-1439
E-mail:
ERISAclaim@aol.com
website:
http://www.ERISAclaim.com
Related Press Release links:
The New 2010 Obama
Healthcare Reimbursement Law Webinars Announced As ERISA Appeals
Procedures Now Mandatory for All Group Health Plans and Healthcare
Providers 01-04-2010, Hanover Park, IL
Free Overpayment Webinar Announced For
Self-insured Health Plans To Get Immediate Relief from New $1 Trillion
Overpayment Recoupment Embezzlement Market 11-23-2009,
Hanover Park, IL
New Healthcare
Overpayment Recoupment Embezzlement Recovery Service Announced In Wake
Of Launch of New Federal Task Force To Combat Healthcare Fraud Crisis 11-19-2009, Hanover Park, IL
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
ERISAclaim.com
Announced The Nation's First Embezzlement Recovery Services for Large
ERISA Health Plans from the $6 Trillion Healthcare Denial Management
Market 10-23-2009, Hanover Park, IL
ERISAclaim.com Announced Free ERISA Webinar for Healthcare Overpayment
Dispute and Claim Denials in Response to Increasing High Demand from
the $6 Trillion Healthcare Denial Management Market
10-19-2009, Hanover Park, IL
ERISAclaim.com Announced the Expansion of Its ERISA Litigation Support
For the Healthcare Claims In Response to Increasing High Demand from
the $6 Trillion Healthcare Denial Management Market.
10-19-2009, Hanover Park, IL
ERISAclaim.com
Announced 2010 ERISA Seminars for Healthcare Overpayment and Claim
Denial Appeals for the $6 Trillion Healthcare Denial Management
Market.
10-14-2009, Hanover Park, IL
ERISAclaim.com
Announced the Nation's First Certification Program for the ERISA
Claim Appeal Specialist for Healthcare Providers and Managed-Care
Payers,
10-13-2009, Hanover Park, IL
Interactive Side-By-Side
Health Reform Comparison Tool of Major Proposals
(Kaiser Family Foundation)
Excerpt: "The Foundation has updated its health
reform resources to reflect provisions of the Affordable Health Care for
America Act (HR 3962) as passed on Saturday by the U.S. House of
Representatives."
Information updated 03/26/2010
