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2006 Reimbursement Seminars
Problem Oriented
ERISA & Medicare Claims
&
New IL WC Laws
Click above for
2006 Seminars |
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Seminars - ERISA, New Federal Laws
for Health-care Claim Denial & Appeals
Illinois
CALL: 1-630-736-2974 |
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2005
Schedules
In
IL
Details & Registration
PDF/Fax verion of Registration Form
Online
Registration
Advanced
Certification
Programs
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Jan. 21, 2005, Friday
9 a.m.-5 p.m.
Feb. 18, 2005, Friday
9 a.m.-5 p.m.
Mar. 18, 2005, Friday
9 a.m.-5 p.m. (Changed to SD from IL)
Apr. 15, 2005, Friday
9 a.m.-5 p.m.
May 20, 2005, Friday
9 a.m.-5 p.m.
Jun. 24, 2005, Friday
9 a.m.-5 p.m.
Jul.
22, 2005, Friday
9 a.m.-5 p.m.
Aug. 19, 2005, Friday
9 a.m.-5 p.m.
Sep. 30, 2005, Friday
9 a.m.-5 p.m.
Oct.
21, 2005, Friday
9 a.m.-5 p.m.
Dec.
16, 2005, Friday
9 a.m.-5 p.m.
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Pre-registration |
$225
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(checks for pre-registration must be
postmarked two weeks prior to the seminar) |
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Late registration |
$250 |
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Registration and payment at the
door |
$275 |
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Additional Staff from Same Office |
$150 |
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Previous Attendees |
$150 |
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VIP's |
$0.00 |
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Where |
Vision MRI & CT Of Oak Brook
(In the
Same Building of
Oak
Brook Surgical Center,
Driving Directions)
2425 W. 22nd Street, Suite #205
Oak Brook, Illinois 60523
(click
it for Map & direction)
(Turn South at Tower Drive from W.
22nd St., Under Oak Brook Water Tower)
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Driving Directions
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For Fax Registration
Click here to Download PDF/Fax verion of Registration Form
For Online Registration or Order
Click here to enter our secured online registration page
Please Specify the Date of Your Seminar on
Registration Form
Tape or any forms of digital recording of seminar are not allowed
Copyright © 2001-2005
Seminar Schedules
in IL,
NC, PA, VA,
OH, Teleconference
We now
offer post-seminar teleconference
for staff training at $190/hour.
Fax To:
(630) 736-1439
A confirmation will be given by fax
CALL: 1-630-736-2974
E-mail Your Questions to
ERISAclaim@aol.com
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Our New ERISA
Program Agenda
Seminar Schedules
in IL,
NC, PA, VA,
OH, Teleconference
950,000
Physicians Agreed to Do ERISA Appeals in
Settlement of Physician
Class-Action Lawsuits
"Aetna
and CIGNA Settlement Secrets"
"Talking
Points"
What You
Should Know about Filing Your Health Benefits Claim
Medicare & ERISA,
Medicare Secondary Payer (CMS)
and
Debts
"Overpayment" Recovery.
You will learn from our
ERISA
demystified
educational seminars, backed with
turn-key
tools and solutions:
1. The basics of ERISA, definition, how to identify ERISA plans, how
to understand basic terms and definitions of ERISA law and regulations
for health-care claim processing and claim appeals;
2. How to get paid timely for what
you legally entitled to or process ERISA health care claims with savings
in accordance with ERISA claim regulation, Final Rule, and Summary Plan Description
(SPD) Final Rule, ERISA Frequent Asked Questions from DOL as we outlined
in above "ERISA POWER GUIDES";
3. ERISA claim regulation or your
state law, which law governs your concerns and disputes, with respect to
coverage, medical necessity and billing & coding, dispute resolution and
appeal process.
ü
Learn the
New Federal (ERISA) Claims Regulations and how they protect and
empower you during claim disputes and WHY
ERISA, a federal law has been kept
secret for 28 years
Ø
Learn What ERISA is
really about and how it regulates
80% of your health-care claims
Ø
Find out why you need a
new legal assignment of benefits,
Your License for Dispute & Appeals (Q-B2 & B3)
Ø
Find out how to properly
request for
full disclosure on pertinent plan documents (Q-B5, D8, D9, D10 & D11)
Ø
Find out what types of
federal penalties can be imposed on managed care plans that fail to
comply, federal protection against
Bundling & Down Coding,
UCR
&
Medical Necessity Denials
ü
Learn about the
Utilization Review Laws and how they can help fight against
improper, unfair
& noncompliant pre-certification and
medical necessity reviews
ü
Learn all about the NEW
ERISA claim APPEALS PROCESS
Ø
Claim denial is followed
by our ERISA compliant document disclosure request
Ø
Learn how to utilize our
automated appeal templates for specific denial letters
Ø
Learn how to do appeal
letters that focus on
federal laws that preempt state law
Ø
Learn how our
NEW ERISA
claim appeal process places the
burden of proof on the managed care plans, turning table around for
endless paper chase and stressful denial crisis!
Ø
AND more...
Results Nationwide
v
Maximal Reimbursement
through
ERISA Compliance
v
Crisis Turnaround through ERISA Compliance
v
Happy
Staff, Happy Patients
v
Increased Respect from the Insurance Industry and Self-funded ERISA
Plans
v
Devote More Time to Patient Care Instead of Claim Denial Crisis Care
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Alert:
We will include one-hour coverage on New Medicare Appeal Process in each of
our ERISA Seminars
Starting from April 2005
Maximal Healthcare Claim Reimbursement
through ERISA Compliance
Educational Training Programs
For Every One Who Handles ERISA Healthcare Claims
For
CFO's,
COOs,
Denial Management
Dept.,
Managed Care Directors,
Contract Managers,
A/R Specialist,
Reimbursement
Manager,
Office Manager, Coder's/Biller's,
Patient Accounting Directors And
Managers,
Risk Managers, Revenue Cycle Directors,
Claims/ Benefit Managers,
"Provider
Sponsored Organization" of HMO's, IPA's &
"Integrated
Health Systems/Networks"
Providers, Payers And Suppliers,
Employer, Insurer,
TPA's,
Appeals Dept., HR,
and More.....
(OIG: Special Advisory Bulletin: Practices of
Business Consultants)
Disclaimer
950,000 MD's Settled With Aetna & Cigna on ERISA
"Aetna
and CIGNA Settlement Secrets"
"Talking
Points"
What You
Should Know about Filing Your Health Benefits Claim
U.S. Health-care Crisis & ERISA Criminal Enforcement
Due to the
recent
demand from the
ERISA plans
and TPA's, we're pleased to announce that we also provide
educational and consulting services to
the ERISA plans, TPA's and managed
care organizations on
New
Federal Claim/ERISA Regulations and
Compliance, however we do not provide any services involving actual
claim dispute or legal advice for any legal matter or disputes.
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2004
& 2003 Past Schedules |
Jan. 23, 2004, Friday
9 a.m.-5 p.m.
Feb 20,
2004, Friday
9 a.m.-5 p.m.
Mar 19,
2004, Friday
9 a.m.-5 p.m.
Apr 16,
2004, Friday
9 a.m.-5 p.m.
May 14, 2004, Friday
9 a.m.-5 p.m.
Jun 25, 2004, Friday
9 a.m.-5 p.m.
July 16,
2004, Friday
9 a.m.-5 p.m.
Aug
20 ,
2004, Friday
9 a.m.-5 p.m.
Sep.
23, 2004, Friday
6:00
p.m.-9:00 p.m.
(3Hr CME, Podiatrists Free, $30-$70 Specials,
Download Registration for Details)
Sep.
24, 2004, Friday
9 a.m.-5 p.m.
Oct.
08, 2004, Friday
9 a.m.-5 p.m.
Nov. 12, 2004, Friday
9 a.m.-5 p.m.
Nov. 18, 2004,Thu.
King of Prussia ~ PA
(Registration Form, PDF)
Dec. 17, 2004, Friday
9 a.m.-5 p.m.
Jan.
14, 2003, Tuesday, 9 a.m.-5 p.m.
Feb. 21, 2003, Friday, 9 a.m.-5 p.m.
March 21, 2003, Friday, 9 a.m.-5 p.m.
April 12-13,
Sat-Sun, Canton, Ohio
May 16,
2003, Friday, 9
a.m.-5 p.m.
June 13, 2003,
Friday, 9 a.m.-5 p.m.
July 18,
2003, Friday, 9 a.m.-5 p.m.
Sept. 19,
2003, Friday, 9
a.m.-5 p.m.
Oct. 11, 2003, Saturday, 9 a.m.-5 p.m.
Langhorne, PA
Oct. 17, 2003,
Friday, 9 a.m.-5 p.m.
Nov. 04,
2003, Thursday, 9 a.m.-4 p.m.
Akron, Ohio
Nov. 14,
2003, Friday, 9 a.m.-5 p.m.
Dec. 12,
2003, Friday, 9 a.m.-5 p.m.
April 20, 2002, Saturday, 9 a.m.-5 p.m.
May 17, 2002, Friday, 9 a.m.-5 p.m.
June 21, 2002, Friday, 9 a.m.-5 p.m.
July 26, 2002, Friday, 9 A.m.-5 P.m.
Sept. 27, 2002, Friday, 9 a.m.-5 p.m.
Oct. 25, 2002, Friday, 9 a.m.-5 p.m.
Nov. 22, 2002, Friday, 9 a.m.-5 p.m.
Dec. 13, 2002, Friday, 9 a.m.-5 p.m.
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CME -911 (for
Illinois)
Solve Your Managed Care Headaches
and
Get 8, 16, or *32 CME Credits
Before Your License Renewal Deadline: 07/31/2005 |
|
8/day HRS CME Approved through National University of
Health Sciences
*32 CME
by Special Arrangement only (8/day)
**for
CME Credits, Tuitions: $50 Additional/day
225 ILCS 60/20 Medical Practice
Act of 1987.
Administrative Rules Section
1285.110 Continuing Medical Education (CME) |
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With New OIG Compliance
Recommendations
Medicare Documentation
for the Demonstration Project
 |
Our ERISA-Medicare
seminar will teach you exactly what to do when you are denied.
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Our ERISA-Medicare
seminar will teach you the rules of the game so that you can
unlock your clinic’s full potential. |
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Our ERISA-Medicare
seminar will bring light back into your practice, because you
will no longer be a helpless managed care victim. |
Friday July 22, 2005 9
AM-5 PM
Oak Brook, Illinois
or
We Can Come to Your
Office at Your Convenience
for Any Group of Ten or
More |
Title 29 U.S.C. § 1141 states:
"It shall be unlawful for any
person through the use of fraud, force, violence, or threat of
the use of force or violence, to restrain, coerce, intimidate,
or attempt to restrain, coerce, or intimidate any participant or
beneficiary for the purpose of interfering with or preventing
the exercise of any right to which he is or may become entitled
under the plan, this title, section 3001, or the Welfare and
Pension Plans Disclosure Act. Any person who willfully violates
this section shall be fined $10,000 or imprisoned for not more
than one year, or both. The amount of fine is governed by 18
U.S.C. § 3571. The U.S. Sentencing Guidelines address 29 U.S.C.
§ 1141 under the guidelines for "Fraud and Deceit" (U.S.S.G. §
2F1.1) or for "Extortion by Force or Threat of Injury or Serious
Damage (U.S.S.G. § 2B3.2)......"
"For example, Section 1141
would reach the use of deception directed
at misleading a welfare plan beneficiary as to the amount of
health benefits owed to the beneficiary under the terms of the
plan or at misleading a pension plan participant as to
the amount of retirement benefits to which he would become
entitled under the plan upon his retirement."
ERISA in the United States Code
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