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  1. On March 23, 2010, exactly one year ago, President Obama signed PPACA (Patient Protection and Affordable Care Act) legislation into law, (
  2. PPACA adopted ERISA Claim Regulations in its entirety as the minimum internal appeals standards for PPACA Claims and Appeals Regulations, and went into effect on Sep. 23, 2010, (
  3. On March 3, 2011, Federal District Court of Florida ordered for PPACA to go forward, even after it ruled PPACA unconstitutional, pending on appeal, (Case 3:10-cv-00091-RV -EMT Document 167 Filed 03/03/11), (
  4. On March 18, 2011, DOL, HHS & IRS (Departments) issued new enforcement guidance, Technical Release No. 2011-01 (
  5. On March 16, 2011, Congress released PPACA mandated GAO Report indicating only a small portion of denials were appealed (0.5% - OH), while 39% to 59% appeals successfully reversed denials, (
  6. On March 4, 2011, AMA reported that 51% of doctors in TX are going broke, �51% of Texas doctors dug into personal funds to keep practices afloat in 2010�, [�More Texas Doctors Dipping Into Personal Reserves To Keep Practices Alive� (]
  7. On March 20, 2011, released its Initial Web Search And Survey results indicating that less than 0.001% of provider entities or associations offered PPACA Claims Regulations education (

"National Summit on Health Care Fraud


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ERISA & Health Claim
Recent Federal Court Ruling in a Case with $10,600 medical claim, insurance Co. refused to pay, provider made numerous demand for payment in almost one year, but no appeals filed, the court dismissed the lawsuit because provider failed to exhaust administrative remedy, as required under ERISA, by filing ERISAclaim appeals.  This situation is so popular in health-care community.
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