Hanover Park, IL (PRWEB) January 10, 2012
With forthcoming Supreme Court PPACA hearing in March and an expected decision in June or July, 2012, ERISAclaim.com offers Webinars to discuss what really matters to the doctors and hospitals in their reimbursement rights: not much as you thought or much more than you thought, what must doctors and hospitals do NOW for their insurance reimbursements with or without PPACA.
If every American is insured but without reimbursement rights for doctors and hospitals, the more patients you see and the less you get paid, the faster you go broke, as recently reported by CNNMoney and AMA, says Dr. Jin Zhou, president of ERISAclaim.com, a national expert on PPACA and ERISA appeals and compliance.
The Webinar will focus on the Supreme Court PPACA development and the real impact on reimbursement rights for doctors and hospitals, rather than pure political and academic marathon debates:
According to the U.S. Supreme Courts Website, PPACA hearing is scheduled for March 27-28, 2012. A decision is expected as early as June or July 2012. The high Court will decide on whether the PPACAs individual mandate and Medicaid expansion will be constitutional, and if unconstitutional, whether they are severable from the entire PPACA. The high Court will likely decide (1) to uphold entire PPACA, (2) throw out the entire PPACA or (3) throw out individual mandate and/or Medicare expansion. To follow-up this important Supreme Court activities, please visit Supreme Court website:
http://www.supremecourt.gov/orders/courtorders/111411zor.pdf
http://www.supremecourt.gov/docket/PDFs/120811zr.pdf
The Supreme Court landmark PPACA decision will certainly change U.S. healthcare history politically and economically. However no matter what the Court decides on PPACA, a.k.a. ObamaCare, the specific impact for the reimbursement rights on claim denials for doctors and hospitals will not be as much as the majority expected, because PPACA adopted 36-year-old federal law ERISA in its entirety for internal appeals and endorsed existing NAIC External Appeal Model for PPACA external appeals, and ERISA governs more than 80% of healthcare claims outside Medicare and Medicaid market. Not much realized by the majority, the Supreme Court decision in CIGNA v. Amara on May 16, 2011 has truly and dramatically changed the reimbursement rights for doctors and hospitals with unprecedented remedies, the protections sought for by Patient Bill Of Rights campaign for decades, explained Dr. Zhou.
So, What Will Be the Real Impact on Reimbursement Rights for Doctors and Hospitals?
1.
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