As one of the nation's 1st private individuals to complete the Certified ERISA PPACA Medical Claims Appeals Specialist program, I have dedicated myself to understanding reimbursement ratios and offering consultative services in ERISA and PPACA compliance issues. In a joint effort with a White House Champions of Change PPACA Program nominee, designed and implemented first of it's kind Out Of Network Healthcare Reimbursement Compliance Program (OHR), focusing on OON Reimbursements, reimbursement compliance risk management and Claim Denial solutions exclusively for OON entities and self-insured health plans.Serving Medical Providers and Self-Insured plan entities in understanding and resolving medical claim disparities related to: -Overpayment Offsets or Recoupments-Hidden Fees-Recovery of Dead Claims or Outstanding AR-Implementing Compliant Reimbursement Policies and ProgramsCollaborated with the industry's premier ERISA medical claims specialist, or "Godfather of ERISA" to create the nation's 1st Fiduciary Overpayment Recovery programs designed to assist self-insured health plans recover and protect self-insured plan assets. These innovative and groundbreaking programs are unique and unlike any other traditional health plan overpayment auditing programs and are designed to recover alleged overpayments, that have been recouped by the TPA’s from medical providers, but have not been restored or refunded to the ERISA self-insured health plan assets as required under ERISA statutes and fiduciary responsibilities.