Payers don’t want you to know how to apply ERISA rules to your claims. Why? Because they want to pay you as little as possible, and ERISA rules will get you paid more. Over 80% of your non-Medicare and non-Medicaid claims fall under ERISA control. When applied correctly, ERISA gives you the power to overturn denied claims for missed filing deadline rejections, get back reimbursement recoupments, stop payers from downcoding your claims, and so much more. Mastering the complexities of ERISA, you can significantly increase your reimbursement, and reduce the number of hoops that payers require you to jump through to get paid.

What you’ll learn:

• Overview of ERISA
  – Voluntary Safe Harbor
  – ERISA Preemption
• ERISA Requirements
  – Summary Plan Description (SPD)
  – SPD: “Wrap” Document and “Mega” Wrap Document
  – ERISA: Form 5500 Fillings
• ERISA Fiduciary Obligations
  – Fiduciary Roles
  – Plan Assets
  – Fiduciary Bond and Accountant Report
  – Duty to Follow the Plan Document
• ERISA Enforcement: The DOL
• How does the DOL conduct an audit?
• Penalties for ERISA Violations
• Key tricks and takeaways

Who should attend:

• Physicians
• Nurses
• Revenue cycle manager and staff
• Practice managers
• Clinical operations staff
• Medical coders and billing professionals
• Medical or hospital staff
• Healthcare executives and leaders

• Compliance officer

Don’t miss this opportunity to maximize Your ERISA claim payments by utilizing the applicable ERISA regulations to have more control of your payer requirements and reimbursements.