Are You Ready for The New Federal Claims and Appeals Laws?
Are You Ready for The New Federal Claims and Appeals Laws?
Presented by Dr. Jin Zhou
The Patient Protection and Affordable Care Act (PPACA) becomes effective on Sept. 23, 2010. How are providers and health plans to comply with these new Federal Appeals Regulations?
The Internal Revenue Service (IRS), and the Departments of Labor (DOL) and Health and Human Services (HHS) recently issued interim final regulations imposing new requirements on internal appeals of adverse claims decisions. Dr. Jin Zhou, a national speaker and consultant on ERISA claim denials and appeals, will discuss these new rules and provide guidance on how to apply them in your practice. His topic points will include:
New interim procedures for federal external review
New Federal standards for EOB's (Explanation of Benefits) for all health plans
New time limits for health plans to make preliminary review decisions and notifications.
New Federal prompt pay laws
And more
About the presenter: Dr. Jin Zhou is a national speaker, consultant, author and publisher of health-care ERISA claim denials & appeals, regulation education and compliance. [click here to read more]
Replay coming soon.
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