Northern California MGMA Webinar Presentation:
ERISA: The Law that Can Keep Payors in Line
& Allow You to Retain Your Revenue
Presented By:
David J. Zeeter
Practice Management Specialist
DATE: Tuesday, February 13th, 2024
TIME: 12:00pm-1:30pm
ABOUT THE SESSION:
Payers don’t want you to know how much control you really have regarding your claims’ reimbursement. They don’t want you to know that by applying ERISA regulations, you can force your payers to:
- pay your claims more quickly,
- stop downcoding your office visits,
- overturn claims that were previously denied,
- expand inadequate appeal deadlines, and
- return recouped funds previously taken from your practice.
Payers know that approximately 83% of your non-Medicare/Medicaid claims are governed by ERISA regulations. For these claims, insurance companies also know that their timely filing deadlines of 90-120 days don’t apply, that they can’t legally recoup funds you’ve been paid and that in most cases, your claims can’t be downcoded without your input. However, they do it anyway because no one is pushing back.
NO FEE TO ATTEND!
Please RSVP to Andrea McArtor: ajmcartor@aol.com
ZOOM LOG IN
Meeting ID: 860 0535 0260 | Passcode: 961778
*Drop ins welcome!*
Speaker Bio
David Zetter is the founder and President of Zetter HealthCare, LLC in Mechanicsburg, PA and has over 30 years of operational and healthcare experience.
David is nationally recognized for his speaking, presentations and healthcare business expertise. He is well versed in regulatory requirements, revenue cycle management, credentialing and contracting, compliance, coding and documentation. He is considered an expert on Medicare, not only by his clients, but his consultant colleagues and healthcare attorneys across the country. David is an expert on ERISA regulations which protect over 80% of the claims in the US and knows how to stop payor recoupments dead in their tracks and what is legal and illegal in many payor contracts. David’s firm works with healthcare professional clients and facilities coast to coast, in all areas of practice and facility management including start‐ups, buy‐ins, compensation, exit strategies, reimbursement enhancement, practice financial modeling, governance documentation, policy and procedure development and implementation, credentialing and contracting, human resources staffing and management, compliance, coding and chart reviews, physician education and many other areas. David has helped to maximize both profitability and reimbursement of physician practices, facility and ambulatory practices, re‐engineered operational and human resources, and addressed coding and billing issues for providers to curtail fraud, abuse, kickback, OIG, and IRS issues.
