"Meet the Newest Addition to Our Family"
And this is only the beginning!
Cypress, CA, Jul 07, 2004- ERN Enterprises announced today
the formation of the California Council of Reimbursement Advocacy
(CCRA) that will administer the Professional Certified Claims
Compliance Exam, a certification program for healthcare
financial professionals in statutory and case laws relating to claim
settlement and reimbursement, that prevent unreasonable delays in
payment of provider claims.
The Professional Claims Compliance Certification Exam will
increase knowledge of, and proficiency in Knox Keene compliance laws
and California regulations designed to protect a patient's timely
access to care. A common emphasis on statutory and case law
will be an integral part of this program, as participants learn to
address issues and situations that affect a provider's ability to
render medically appropriate health care to patients, such as
untimely reimbursement, improper denials and negligent utilization
review.Comprised of a database of 275+ questions, case
scenarios and denial simulations, this program will require a
working knowledge of: California statutes and regulations, ERISA
laws, revenue cycle, denial management and appeal letter
writing. Combating unfair payment practices is more complex than
tracer letters and resubmitting medical bills. Succeeding at appeals
takes a cooperative ongoing educational effort within the industry
to equip healthcare professionals ascertain the will of the
legislature in enacting public policy laws:
"It is the public policy of the State of California that a
health care practitioner be encouraged to advocate for appropriate
health care for his or her patients. For purposes of this section,
"to advocate for appropriate health care" means to appeal a payer's
decision to deny payment for a service pursuant to the reasonable
grievance or appeal procedure established by a medical group,
independent practice association, preferred provider organization,
foundation, hospital medical staff and governing body, or payer, or
to protest a decision, policy, or practice that the health care
practitioner, consistent with that degree of learning and skill
ordinarily possessed by reputable health care practitioners with the
same license or certification and practicing according to the
applicable legal standard of care, reasonably believes impairs the
health care practitioner's ability to provide appropriate health
care to his or her patients." CA Business and Professions Code 510
WHAT AN OPPORTUNITY!With the guidance and
support of members representing the healthcare industry, such as the
California Ambulance Association, who will participate in the
joint project, CCRA will provide a number of crucial services and
certified training programs for providers, professionals and
consultants involved in the ongoing fight for healthcare reform. At
the core of each program is an ongoing commitment to expanding
educational opportunities for under-represented professionals and
providers in the industry.
Ed Norwood, president of ERN Enterprises, notes that CCRA is not
an association. "If patient and provider rights is your passion,
then the industry will appreciate the existence of CCRA, a small
handful of people who want to change the destiny of patient
care. There are no membership dues required to join. The
only requirements are proof that your organization has trained in at
least one (1) ERN or Stop the Abuse Training Programs or signed a
letter of intent to do so within the next ninety (90) days, and a
commitment to attend at least two (2) ERN or CCRA forums,
teleconferences and/or educational programs annually."
YOU OWE IT TO CALIFORNIA CITIZENS TO
JOIN."Your decision to certify, may determine the
future of your organization and our nation's health care delivery
system. If you'd like to become a part of today's solution,
there's no better way to start than becoming a member of CCRA."
You'll receive all these benefits:
- Subscription to Stop the Abuse Newsletter and Legislative
Alerts, distributed via email, to keep you up to date on
legislative and governmental issues affecting our industry.
- Flat rate discounts on claimant representation and emergency
claims resolution services.
- Eligibility for Certification Designations. Professional
Claims Compliance Certification demonstrates to your employer and
peers, your authority, knowledge and proficiency in statutory laws
designed to protect patient and provider rights.
- Exclusive invitation and pricing to annual conference, boot
camps and workshops to increase education, skills and networking
- Seminar, meeting, product and membership discounts offered by
ERN, CCRA and other related sponsors.
- FREE Online or Phone Support to deal with difficult compliance
issues and unresolved claim violations.
- Invitation to a fall awards program.
- Job Bank to assist you in searching and posting that special
job and so much more!
OUR MISSION?To stimulate and promote the
faith of our members and to lead them on to accurate discernment and
recognition of and acquaintance with the truth (of public policy
laws,) which belongs to, harmonizes with, and tends to patient and
And this is only the beginning! Our certification programs
will promise the foresight and practical insights needed during the
uncertain times of our nation's healthcare crisis. The certification
program will be administered by CCRA and is available to members at
their location during "open" testing months (January, April and
July) or once a year at a private sitting of the exam (October.)
The first test administration date will be released this
This is your moment--ACT
NOW!About ERN Enterprises
ERN Enterprises, Inc. is healthcare's premier training authority
on public policy laws, providing healthcare business solutions
designed to save time and costs for hospitals, physician groups and
other healthcare related facilities across the country. Through a
variety of innovative products and platforms, ERN Enterprises, Inc
delivers up-to-date training on state and federal regulatory issues
that increase the bottom line for providers. ERN also provides
supplemental training tools that create strategic demand/appeal
notices and educational materials on the industry's hottest
reimbursement topics and payer issues to pursue all claims where
non- compliance and payment is indicated until PAID.
About the California Ambulance Association
Formed in 1948, the Association serves as a voice and
clearinghouse for the industry. Its goals are to advocate and assist
in the development of private enterprise, pre-hospital emergency
medical treatment, and medical transportation services as a viable,
cost-effective alternative to publicly operated services. The
Association views pre-hospital care not only as a public service,
but also as an essential part of the total medical care system. It
concentrates on the quality of medical care the patient is
ERN and CCRA training services do not constitute legal advice or
legal consultation and do not establish an attorney-client
relationship. You are encouraged to seek independent legal advice at
your sole discretion.