What is ERISA and why should it matter to your medical practice?

The Federal law ERISA (Employee Retirement Income Security Act) helps the majority of medical practices make carriers pay on claims that are now being denied, delayed, and recouped. Only a small percentage of practices understand how ERISA works. Yet with appropriate guidance, ERISA could possibly become a practice's best friend! Practices are in the dark when it comes to understanding how to protect their rights in collecting the monies owed them. ERISA regulates the practice's health benefits, health benefit payments, explanations of benefits, and most importantly, appeal rights. This article covers how to capture the funds on thousands of dollars that carriers are now unfairly denying, and will empower the reader to stop the unfair recoupments and illegal timely filing and improper appeal periods that carriers mistakenly quote to physicians and hospital offices.