WHAT EVERY MEDICAL BILLER AND FINANCIAL OFFICER SHOULD KNOW ABOUT THE AMENDED MICHIGAN NO-FAULT INSURANCE ACT:

Information and resources to equip your business to develop and implement strategies to get bills paid and tips on how and when to appeal.

VIRTUAL CONFERENCE

THURSDAY, OCT. 21, 2021

9:00 AM - 1:00 PM

Cost: $200

EVENT CO-HOSTED BY MMBA AND CPAN 

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Agenda

 Overview of PA 21 Changes                              

• PIP “Choice”

• New Priority Rules

• Changes to Tort Claims/Litigation

• New Accreditation Requirement

• New Attendant Care Limitation

 The New Fee Schedule            

    Brief Review of the Law:                                

• MCL 500.3157

• DIFS’ New Fee Schedule Rules

• Relevant DIFS Bulletins

• The Spectrum Health Decision

FAQs Answered on Topics Including:              

• The Use of Codes and Claim Forms

• Eligibility for Enhanced Reimbursement

• Charge Description Master(s)

• The Use of Fair Health Data

Breakout Discussions and Q&A for:      

1. Provider Group I:  Larger-scale providers who render treatment that is generally reimbursable under Medicare.                                      

2. Provider Group II:  Smaller-scale providers who render treatment, including, but not limited to, in-home attendant or nursing care or therapy, that is generally not reimbursable by Medicare.

3. Provider Group III:  Including but not limited to, physician offices who render treatment including office services (Evaluations and Management [E&M], X-rays, & Procedures, outpatient and inpatient services (E & M & Surgical).

 

The New Utilization Review Rules and Process                       

Brief Review of the Law:                               

• MCL 500.3157a

• DIFS’ New Utilization Review Rules

FAQs Answered on Topics, Including:

• DIFS’ Appeals vs. Civil Lawsuits:

• Pros/Cons & How to Choose Your Best Path

• “Judicial Review” of DIFS’ Decision(s)

• Responding to Insurer/MCCA Requests

• Grounds for Insurer/MCCA Denials of Provider Bills

• “Medically Accepted Standards” for Denial

• Official Disability Guidelines (“ODG”)

Breakout Discussions and Q&A for:        

1. Provider Group I:  Larger-scale providers who render treatment that is generally reimbursable under Medicare.                                        

2. Provider Group II:  Smaller-scale providers who render treatment, including, but not limited to, in-home attendant or nursing care or therapy, that is generally not reimbursable by Medicare.

3. Provider Group III:  Including but not limited to, physician offices who render treatment including office services (Evaluations and Management[E&M], X-rays, & Procedures, outpatient and inpatient services (E & M & Surgical).

General Q&A                                                   

Concluding Remarks