First National Healthcare PPACA & ERISA Claims Specialist Certification Class Under Health Reform Laws Held For Provider State Associations - Insurance News | InsuranceNewsNet

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November 22, 2010 Newswires
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First National Healthcare PPACA & ERISA Claims Specialist Certification Class Under Health Reform Laws Held For Provider State Associations

Hanover Park, IL (Vocus/PRWEB) November 22, 2010

On November 18, 2010, ERISAclaim.com held the nation’s first Federal Healthcare PPACA & ERISA Claims Specialist Certification Class in Columbus Ohio for Ohio State Chiropractic Association (OSCA), in compliance with Healthcare Reform Law, Patient Protection and Affordable Care Act, PPACA. The OSCA’s PPACA & ERISA Committee with more than 15 practicing chiropractic physicians from across the State of Ohio and OSCA leadership participated in this PPACA compliance certification class, as the first provider organization in the nation in solving escalating claim reimbursement crisis for its members. After comprehensive review of the authority, scope and practical applications of PPACA in claim denials and appeals, a proposed OSCA official policy on PPACA was developed for approval from full OSCA board. OSCA leadership discussed the specific steps to be taken to complete the entire series of PPACA certification training classes in order to assist its members in solving healthcare claims reimbursement crisis through compliance with consumer protection provisions of Federal Reform Law, PPACA.

The Patient's Bill of Rights provisions of PPACA mandate strict compliance with new Federal Appeals Laws and existing ERISA laws for all group health plans and individual policies.

“The Affordable Care Act will help support and protect consumers and their healthcare providers to end some of the worst insurance company abuses. For too long, consumers and their providers have been forced to fend for themselves in a health care system that did not provide them with the support and assistance they needed and deserved. Today, ERISAclaim.com is offering advanced PPACA & ERISA certification program that will teach healthcare providers to appeal decisions made by the health plans and the availability of resources that will be used to provide highest quality care and help give consumers more control of their health care decisions,” said Dr. Jin Zhou, President of ERISAclaim.com, a national PPACA & ERISA compliance and appeals expert.

Further information on The Affordable Care Act’s New Patient’s Bill of Rights, governing the new PPACA & ERISA Claim Certification Program, can be found on the website of Department of Health & Human Services:

http://www.healthcare.gov/news/factsheets/protectconsumers_factsheet072210.pdf

“Fact Sheet: The Affordable Care Act: Protecting Consumers and Putting Patients Back in Charge of Their Care - July 22, 2010

The Affordable Care Act will help support and protect consumers and end some of the worst insurance company abuses. For too long, consumers have been forced to fend for themselves in a health care system that did not provide them with the support and assistance they needed and deserved. Today, the Obama Administration is announcing new regulations that will allow consumers to appeal decisions made by their health plans and the availability of resources that will be used to help give consumers more control of their health care decisions.”

http://www.hhs.gov/news/press/2010pres/07/20100722a.html

“HHS, DOL & IRS News Release: The Affordable Care Act’s New Patient’s Bill of Rights

New Regulations Give Patients Right To Appeal Health Plan Decisions; New Grants Program Strengthens State and Territory Consumer Assistance Programs”

“The Affordable Care Act’s New Patient’s Bill of Rights provides timely protections for hard-working Americans, consumers for chiropractic care and all OSCA members,” said Dr. Otto J. Schmidt, DC, the President-elect of OSCA.

Pending upon OSCA board approval, the following proposed official policy of OSCA was developed by PPACA Committee in the first session of the PPACA claim certification training:

“It is the official policy of the Ohio State Chiropractic Association (OSCA) that a chiropractic physician be encouraged to advocate for medically appropriate chiropractic health care services for his or her patients. For purposes of this Policy, "to advocate for medically appropriate chiropractic health care services" means to appeal a decision to deny payment for a health care service in compliance with applicable federal laws, PPACA, ERISA and Medicare, and state laws, and pursuant to the reasonable grievance or appeal procedure established by a health care plan or to protest a decision, policy, or practice that the chiropractic physician, consistent with that degree of learning and skill ordinarily possessed by chiropractic physicians practicing in the same or a similar locality and under similar circumstances, reasonably believes impairs the chiropractic physician's ability to provide appropriate chiropractic health care services to his or her patients.”

“We will learn and master PPACA & ERISA appeals regulations as soon as possible in order to serve our members and practicing chiropractic physicians in the State of Ohio," explained Mr. Bharon Hoag, Executive Director of OSCA.

Located in Columbus, OH, the Ohio State Chiropractic Association (OSCA) is the leading Chiropractic State association with hundreds of Doctor Members statewide. Information regarding the OSCA can be accessed at https://associationdatabase.com or by contacting Executive Director, Bharon Haog at 614.229.5307.

ERISAclaim.com, located in Chicago suburb in Illinois, 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.

For more information on how to become an ERISA-PPACA & ERISA Claims Specialist under new and existing federal appeals regulations: http://www.erisaclaim.com/certification.htm.

For any questions, please contact Dr. Jin Zhou, president of ERISAclaim.com, at 630-808-7237.

###

Read the full story at http://www.prweb.com/releases/2010/11/prweb4816584.htm

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