Reimbursement Roundup:
Uncover Must-Know Appeals Changes Established By New Federal Law
Published on Fri Oct 14, 2011
Now's the time to find out how ERISA and PPACA impact your practice -- or you'll face major reimbursement losses.New Federal claims appeals regulations went into full implementation on July 1, so if you haven't gotten to know the new law and honed your Employee Retirement Income Security Act (ERISA) knowledge, you could be costing your practice thousands. Read on for advice on how to master these rules.Background: The Patient Protection and Affordable Care Act (PPACA), signed into law by President Obama Mar. 23, 2010, incorporates or adopts existing ERISA claim regulation in its entirety and adds on six to seven new standards/requirements as well.Challenge: The new appeals regs will affect all your billing denials and appeals outside of Medicare and Medicaid, so your billing department will need to learn them to recoup deserved pay. The new regulations went into full implementation on July 1, 2011, so if you haven't gotten [...]