Hanover Park, IL (PRWEB) January 12, 2012
In response to the new demands, ERISAclaim.com offers 2012 Advanced PPACA & ERISA Claim Specialist Programs on 2012 Healthcare Prompt Pay Laws. The new healthcare reform law, PPACA, will be fully enforced in 2012 to remedy the epidemic health claim prompt pay violations in the wake of the failures from the state legislative patches due to ERISA preemption. The Advanced PPACA & ERISA Claim Specialist Programs will cover: (1) The 2012 PPACA & ERISA Prompt Pay Laws under full enforcement of PPACA Claims Regulation for all 50 states; (2) the potential impact of the imminent U.S. Supreme Court decision on the PPACA prompt pay laws; (3) PPACA and ERISA prompt pay appeals and federal enforcement; (4) federal laws, PPACA & ERISA, pre-empt and supersede any and all conflicting or inconsistent state prompt pay laws.
The first program of 2012 Healthcare Prompt Pay Laws will be held on January 17 & 18, 2012 in Los Angeles, California.
Federal PPACA & ERISA prompt pay laws are more powerful than any state laws, and take a different approach. The state prompt pay laws provide for timely pay for clean claims with an interest penalty as remedies, while the federal prompt pay laws mandate for timely benefit determination, with appeal rights for an adverse benefits determination without timely actual pay, says Dr. Jin Zhou, president of ERISAclaim.com, a national expert on PPACA and ERISA appeals and compliance.
According to an AMA report in March 2011, more than 51% of doctors in Texas are going broke, mainly due to the insurance claim payment delays and denials. Prompt pay crisis is epidemic and similar for all 50 states, explained Dr. Zhou, as to the high demand from the providers. (http://www.ama-assn.org/amednews/2011/03/14/bisc0314.htm)
Most provider attempts through the state legislations to cure prompt pay crisis have failed in the past 2 decades mainly due to the federal law ERISA preemption of state laws, added Dr. Zhou.
PPACA full enforcement in 2012 mandates full compliance with PPACA and ERISA, especially if a healthcare provider wanted to get paid timely, regardless from any state, said Vincent Flores, a certified PPACA and ERISA Claim Specialist, VP of YF Corporation in Los Angeles, California.
This Advanced PPACA & ERISA Claim Specialist Programs will discuss specific potential impact from the imminent U.S. Supreme Court decision on the enforceability of PPACA and federal prompt pay laws: (http://www.supremecourt.gov/orders/courtorders/111411zor.pdf) & (http://www.supremecourt.gov/docket/PDFs/120811zr.pdf)
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