CPAN, in conjunction with its General Counsel legal team at Sinas Dramis, present The No-fault Provider Survival Course. This course will be offered over several dates in a half-day virtual format.
Major changes to Michigan’s auto no-fault law enacted in 2019 have altered and limited the scope and extent of the PIP allowable expense benefits. Additionally, changes in the law made significant changes regarding tort liability claims. These 2019 changes in the law made filing claims overly complicated, with several important rules and requirements that must be followed in order to protect the legal rights of crash victims. It is imperative that providers rendering care to these patients covered by no-fault insurance thoroughly understand these differences. Medical providers are subject to “fee schedules”, accreditation requirements, utilization review rules, and other oversights previously not required before the 2019 changes limiting covered services for patients.
The No-Fault Provider Survival Course is designed to help providers understand these new changes and help them navigate the new rules and requirements imposed by the law. The course discusses the following 10 rules for provider protections:
Determine applicable PIP Coverage Limits and Opt-Outs
Determine the Proper Payor of PIP Benefits
Know the Applicable Fee Schedules
Appreciate the Reasonable Change Problem
Submit Compliant and Timely Notice of Claims
Understand the New Utilization Review Process & Follow DIFS’ Rules
Understand Addition Restrictions on Care
Watch Out for Insurance Medical Exams
Protect the New Provider Cause of Action & Set-Up Penalty Sanctions
Recognize the Importance of the Tort Case
Cost:
CPAN member and digital course materials - $130
CPAN member and color, hard copy, tabbed binder (sent to registrant) - $160
Non-member and digital course materials - $165
Non-member and color, hard copy tabbed binder (sent to registrant) - $195
Course Materials: Included with the course registration is a comprehensive “binder” of materials that registrants can either obtain digitally or in an easy-to-reference color copy, hard copy, tabbed binder. The 16 tabbed sections include a copy of the No-Fault Auto Insurance Act, a “Protecting the Injured: Summary Guide”, CPAN’s Making Smart Choices: Recommendations, CPAN no-fault vs Medicare and Medicaid comparison coverage chart, DIFS Bulletins, Spectrum Health Hosp v Farm Bureau Case and case summary, Utilization Review Rules and summary timeline, Provider Appeal Request form, DIFS Accreditation requirements and FAQs, and “Tort Becomes PIP: The New Right to Recover Excess ‘Allowable Expenses from At-Fault Drivers” – article by Stephen Sinas.
Register: https://www.viethconsulting.com/members/evr/reg_event.php?orgcode=CPAN&evid=28039691