ERN Certified Public Training Session (PCCP ACC Track A)

With the health care safety net for millions of Californians imperiled by the economic crisis and payor
unfair payment practices, ERN/The National Council of Reimbursement (ERN/NCRA) organizes
powerful, interactive educational sessions designed to arm providers with laws that can help keep
their doors open, ensuring Californians’ access to critical trauma and medically necessary care.
As advocates for medically appropriate healthcare, we cannot conform to industry standards.
To help healthcare professionals distinguish themselves with mastery of federal and state prompt
payment laws, ERN/The National Council of Reimbursement Advocacy has organized a
comprehensive PROFESSIONAL CLAIMS COMPLIANCE ACCELERATED PROGRAM (PCCP-ACC) that takes registrants into a one (1) day mini-boot camp on cases and laws that prohibits Knox-Keene licensed health plans, Medicare and Medi-Cal HMOs, PPOs and ERISA Payors from engaging in unfair payment patterns and claim settlement practices.
In this class, we will cover:
CLAIMS PAYMENT COMPLIANCE

• Disagreement of Care
• Emergency Service & Transfer Denials
• Poststabilization Service & Transfer Denials
• Unauthorized Treatment
• Medical Necessity Denials
• Retroactive Denials
• Anti-Assignment of Benefit Denials
• Untimely Payment