Upcoming Speaking Engagements HFMA Metro Members Click Here for Presentation Materials Using ERISA to Get Your Claims Paid
The Employee Retirement Income Security Act (ERISA) has been viewed as both a blessing and a curse in the medical insurance industry. While there are many drawbacks and ambiguities associated with this statute, providers can and should use it to their benefit. If your patient plan is self-insured (about 60 percent are), ERISA and its corresponding federal regulations contain many hidden gems that can help get your claims paid.
click here to read full press release The Patriot Group
The Patriot Group and their affiliated law firm, The Force Law Firm PC, report the recovery of $1.1 Million Dollars in six (6) months for out-of-network private Dallas Ft Worth area Hospital. The accounts recovered involve two year old, written off hospital debt that was paid, but at low reimbursement rates. For more information, contact company President, Thomas J. Force, Esq., at tforce@patriotcompli.com or at 631 665-1880 ext 7.
ERISA Victory for the Force Law Firm on behalf of a New York Plastics Surgeon
On June 6, the U.S. District Court for the Northern District of New York declined to dismiss key elements of an action for reimbursement of medical costs. After "liberally construing" the proposed amended complaint, the court found plaintiffs stated three cognizable cliams under the Employee Retirement Income Security Act (ERISA).
click here to read full press release How to Obtain Increased Reimbursement on Your Out-of-Network Claims
Many physicians and other healthcare practitioners need to go "in-network" with managed care organizations because these network agreements drive patients into their office. These practitioners typically enter into managed care participation provider agreements with the health insurers for the privilege of becoming an "in-network" provider.
click here to read entire article Out-of-Network Reimbursement: Don’t Expect Insurers to Do the Right Thing
In early 2008, New York Attorney General and Gov. Andrew Cuomo conducted an investigation into what they viewed as under-reimbursed claims by most insurers in the state.
click here to read full press release Leveling the Playing Field - 9 Tips to Receive Payment for Medical Claims Fairly and Quickly
Most physicians and health care administrators believe that health care and particularly the "revenue cycle" is controlled entirely by the managed care companies. They believe this because these companies are multi-million dollar conglomerates with seemingly endless streams of revenue.
click here to read full press release