This national publication sought a piece to be written by Richard Quadrino, now a featured blogger on its website (chiroeco.com), as to issues facing chiropractors across the country on payment and reimbursement issues.
Mr. Quadrino explained how medical providers can achieve protected status under ERISA so that they can seek the full set of tools available under the law, in a federal court. Indeed, recent court decisions have vindicated Mr. Quadrino’s approaches when it comes to this threshold issue.
The article detailed issues presented under the various ERISA claims regulations. These Department of Labor / ERISA regulations have now been “imported” into all group health plans and group health insurance policies through a provision in the Affordable Care Act. Thus, providers need to be aware of the benefits of these regulations and how violations by health plans can be used to their advantage in obtaining payment on denied claims.