Navigation Links Announced the Expansion of its ERISA Litigation Support for the Healthcare Claims in Response to Increasing High Demand from the $6 Trillion Healthcare Denial Management Market

Effective on October 19, 2009, is expanding its Litigation Support Division for healthcare claims in response to the skyrocketing overpayment recoupment dispute and claim denial litigations in the $6 trillion healthcare denial management market. Federal law ERISA governs more than 80-90% of the insurance and benefit payment for non-Medicare claims for 35 years, when inevitable, litigation is the only legal avenue to resolve healthcare claim dispute to avoid more middle-class bankruptcies for 170 million working Americans and their families covered under ERISA plans.

Hanover Park, IL (PRWEB) October 19, 2009 -- Effective on October 16, 2009, is expanding its Litigation Support Division for healthcare claims in response to the skyrocketing overpayment recoupment dispute and claim denial litigations in the $6 trillion healthcare denial management market. Although Federal law ERISA governs more than 80-90% of the insurance and benefit payment for non-Medicare claims for 35 years, ERISA has been very little known to and mostly misunderstood by healthcare providers and even most healthcare attorneys. Compliant and valid ERISA appeals and exhaustion of appeal remedies are required even before any filing of ERISA cases and for almost all successful ERISA litigations. supports and advocates for successful appeals in order to prevail inevitable litigations. In the past 35 years, the absolute majority of ERISA litigations by healthcare providers failed due to the lack of understanding and correct practice of ERISA Appeals by providers and healthcare attorneys.

In light of increasing managed-care litigation under ERISA and RICO on behalf of healthcare providers in an era of skyrocketing healthcare costs in the midst of unprecedented economic recession, is expanding its long-standing ERISA consulting and litigation support divisions and services for more law firms, to assist and support healthcare providers and their attorneys to promptly identify ERISA plans and plan administrators, to secure legal standing from initial patient encounter to inception of litigation, to correctly request for the plan SPD's and relevant plan documents, to effectively and strategically file and complete ERISA appeals, and to provide attorneys with litigation research and strategy assistance.

ERISA, Employee Retirement Income Security Act of 1974, is a federal law that governs and regulates healthcare claims for estimated more than 170 million Americans who obtained health insurance or benefits from employment in private sector, for both self-insured and fully-insured (through purchase of insurance) health plans. ERISA law completely (100%) preempts, supersedes and invalidates any and all state laws and private managed-care contracts for PPOs and HMOs in any and all dispute over denial of benefits from an ERISA plan. ERISA regulates and governs healthcare claims which include the paid ERISA healthcare claims in more than 50% of $2.4 trillion, 16.6% of GDP, of the national health expenditure in 2008, and also include the denied healthcare claims, legitimately or wrongly for appealable claims, in more than 50% of $5 trillion in the aggregated denied healthcare claims in 2008. More than 60-70% of healthcare claim denials from insurance companies and managed-care third-party payers by employer-sponsored plans are due to ERISA regulated plan or policy coverage, limitations and exclusions rather than traditional billing, coding, medical necessity and managed care contracting or participation dispute. Although in the past 35 years the notices for ERISA rights to appeal were written on almost every EOB (Explanation of Benefits) in the daily practice in doctors' offices and hospitals, the healthcare providers, managed-care third-party payers, and even legal professionals as well as the state regulators rarely understood how to conduct, manage or regulate ERISA claim appeals for ERISA claim denials and disputes.

There have been urgent and popular market demands for ERISA healthcare claim litigation as the only legal avenue to resolve healthcare claim dispute, for 170 million working Americans and their families, to avoid more middle-class bankruptcies when 77.9 percent of those bankrupted by medical problems had health insurance at the start of the bankrupting illness, including 60 percent who had private coverage from ERISA plans in this $6 trillion healthcare denial management market.

More and more class action lawsuits have been filed recently under ERISA and RICO on behalf of doctors and hospitals for overpayment disputes in order to avoid provider's financial disasters and bankruptcies. Multi-billion dollars have been reportedly recouped by Payers and managed care TPA's in private sector, in addition to now popular Medicare RAC overpayment program. is offering the nation's first systematic, comprehensive and advanced ERISA litigation support, when inevitable, for healthcare claims specifically in accordance with U.S. Supreme Court rulings in Aetna v. Davila and ERISA claim regulation, with commitment to compliant education for medical claim dispute resolution in order to avoid all unnecessary costly litigations. is currently the only company in the country that provides comprehensive, systematic and advanced ERISA healthcare claim education, consulting and publishing primarily for the healthcare providers and industry consultants., located in northwestern suburb of Chicago, Illinois, is an online publisher, consultant and educator for ERISA claim education, training and consulting as well as claims recovery for ERISA healthcare claims. It also provides ERISA litigation support, research assistance and fraud and abuse prevention as well as PPO auditing defense consulting. In addition to ERISA, also provides consulting and education for Medicare Claim Appeals Specialist, for Medicare RAC overpayment appeals, fraud and abuse prevention.

Dr. Jin Zhou, the president of, developed the nation's first ERISA education and practical appeal system for healthcare providers 10 years ago. He has gained most comprehensive and unique practical experience in training and consulting in ERISA claims for healthcare providers and assisting trial lawyers frequently for more than 10 years. Dr. Jin Zhou was sometimes referred to as the "Godfather of ERISA Claims" for healthcare providers by some industry experts. His ERISA expertise and experience are unique and different from that in traditional ERISA appeal and litigation for disability claims on behalf of patients instead of healthcare providers with billing and coding, medical necessity and managed-care contracting and network complications.

For more information or to arrange an interview, please visit, or contact Dr. Jin Zhou, president of, at 630-808-7237.


Read the full story at

Source: PRWeb
Copyright©2009 Vocus, Inc.
All rights reserved

Related medicine news :

1. Announced the Nation's First Certification Program for the ERISA Claim Appeal Specialist for Healthcare Providers and Managed-Care Payers
2. First Annual Conference of National Association of Healthcare Advocacy Consultants (NAHAC) to Be Held Nov. 14-15; Board of Directors Announced
3. Launch of First Year-Round Annual Scientific Medical Meeting Announced at Health 2.0
4. Agenda Announced for Ionic Liquids 2009
5. National Greatness Contest Winners Announced
6. 2009 John M. Eisenberg Patient Safety and Quality Award Recipients Announced
7. Winner Announced in GlucoStories Contest
8. Initial Slate of Speakers and Sponsors Announced for BioConference Live, Online Conference for the Life Science Community on November 17-19
9. 4 Balzan 2009 prize winners announced in Milan
10. European Launch of Acticoat(TM) Flex with NUCRYSTs Nanocrystalline Silver Technology Announced by Smith Nephew
11. reThinking eHealth Webinar Announced - eHealth Experience Officer Needed Will a New Hospital Executive Emerge as Health Care Reforms?
Post Your Comments:
(Date:11/29/2015)... , ... November 29, 2015 , ... While conventional walkers ... or provide ready access to exercise weights. Fortunately, an inventor from Uniontown, Pa., has ... TOMMY WALKER to enhance the benefits of a standard walker to improve the user’s ...
(Date:11/29/2015)... ... November 29, 2015 , ... Effective immediately, every single IguanaMed scrub style ... Black Friday Target is offering a “Buy One Scrub Set, Get the 2nd Scrub ... to purchase IguanaMed at a discounted price. , IguanaMed’s mission is to ...
(Date:11/28/2015)... ... 28, 2015 , ... Safe storage for contraceptive devices may not always be ... New Jersey and the other from Bradley Beach, New Jersey, there is an easy ... of having to replace NuvaRings more often than necessary. As such, it affords peace ...
(Date:11/28/2015)... CA (PRWEB) , ... November 28, 2015 , ... Pixel ... fully customizable media panels to choose from, the possibilities are endless. Users have full ... more. With the ProPanel: Pulse masking effects, users are sure to get heads to ...
(Date:11/27/2015)... ... , ... According to an article published November 6th by The ... of British Columbia suggested that laws requiring bicyclists to wear helmets may not actually ... the reason for the controversial conclusion is that, while helmets have certainly prevented a ...
Breaking Medicine News(10 mins):
(Date:11/27/2015)... ) ... "2016 Global Tumor Marker Testing Market: Supplier ... Segment Forecasts, Innovative Technologies, Instrumentation Review, Competitive ... offering. --> ) has ... Global Tumor Marker Testing Market: Supplier Shares ...
(Date:11/26/2015)... 26 november 2015 AAIPharma Services ... geplande investering aan van ten minste $15,8 ... en het mondiale hoofdkantoor in ... resulteren in extra kantoorruimte en extra capaciteit ... groeiende behoeften van de farmaceutische en biotechnologische ...
(Date:11/26/2015)... 26, 2015 --> ... SyMRI to find optimal contrast weighting of MRI for ... has signed a research agreement with SyntheticMR in order to ... SyMRI, it is possible to generate multiple contrast images from ... patient has left, thus making it possible to both fine ...
Breaking Medicine Technology: