Cypress, CA - March 1, 2004 - ERN Enterprises, Inc.
announced today it's most comprehensive denial management
program, REVAssurance 3.0 RELOADED. REVAssurance 3.0 is an
intuitive, single browser based program that simplifies prompt
payment law research and application at your fingertips.
With over 250 appeal, demand, and script templates, this
Denial Management and Training Program will improve cash flow
and reduce bad debt write-offs by assisting providers appeal
improper denials, establish policies and procedures for
managed care recovery, track the disposition of unpaid and
denied claims and provide denial prevention reporting and
analysis.
Currently, 66% (two out of three)of hospitals and providers
are losing money from operations. However in 2002, the top
three (3) for profit health plans in California saw a whopping
74% increase in net revenue, while healthcare providers
remained in the red. The reason for the dramatic increase:
increased premiums and get this, "better administrative
controls."
AB1455 amendments strictly mandate all health care service
plans and their capitated providers that pay claims establish
a fast, fair and cost-effective dispute resolution mechanism
to process and resolve contracted and non-contracted provider
disputes. Unfortunately, many health plans have placed this
statutory responsibility on Customer Service Representatives
in Call Centers.
"Anyone with little or NO knowledge of administrative
and case law, will always resort to the
unethical!"
With little or no training in public policy
laws, the CSR is provided technology that simplifies data
gathering, interpretation and scripted responses to answer
provider inquiries in a shorter timeframe. This mindset is
reinforced by digital displays notifying the CSR how many
calls are waiting to be answered, encouraging them to hurry to
the next call.
"REVAssurance 3.0 is a product fueled by industry demand
and my PURE, UNRELENTING, NO-HOLDS BARRED PASSION TO HELP
TRAIN PROVIDERS HOW TO DEFEND PATIENT CLAIMS BY APPLYING
STATUTORY AND CASE LAW PRESSURE TO PROBLEMATIC PAYERS, said Ed
Norwood, President of ERN Enterprises, Inc."
"Never OVERESTIMATE the Event and UNDERESTIMATE the
Process..."
"OUR SEMINARS REJUVENATE PROVIDERS!"
"However, our clients told us they wanted to simplify the
process of referring to Federal and State Regulations that
protect patient and provider rights, so we focused our
creative effort on bringing the most common payer challenges
and the applicable statutory authority citations and/or case
law in one easy to use package."
"This program can be created for out of state providers as
well. NOTHING IS IMPOSSIBLE! We provide the KEY to complete
domination of routine claim delays and denials!"
About ERN Enterprises
ERN Enterprises, Inc. is
HealthCare's premier training authority, 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!
Company Website: http://www.ernenterprises.org
