Case Management, Legal Support, Medical Consultation, Vocational Rehabilitation

Be Proactive with CPAN – The No-Fault Provider Survival Course

 July 20, 2021

By  Deborah L Weiner Katz, OTR/L, CCM, CLCP

Because of the legal changes to Michigan’s no-fault law in 2019, significant challenges for providers caring for patients have arisen- with no solution. The changes made have both limited and altered the extent of the PIP allowable expense benefits, as well as significantly changing claims that regard tort liability. The changes have made filing claims overly complicated, including strict stipulations providers must follow.

Without adequate knowledge of the rules and accreditation requirements that providers must be in compliance with, the legal rights of crash victims they are caring for may be compromised. Providers are further subject to “fee schedules”, utilization review rules, as well as other areas that were previously not required before 2019 when PA 21 was originally enacted. Understanding these changes and the limitations in regard to covered services is imperative for those relying on the care originally promised to them prior to these changes.

CPAN Takes Action Offering No-Fault Provider Course

CPAN (The Coalition Protecting Auto No-Fault) formed in 2003 and is comprised of 24 bipartisan professional associations. Their primary mission is in ensuring that the Michigan auto insurance industry continues to keep their promise to the citizens of Michigan back in 1972 when the No-Fault Act was originally passed.

What Is the Purpose of  The No-Fault Provider Survival Course

Because CPAN has recognized that the new legal changes have left many providers with challenges, questions, and concerns about the new rules, CPAN, in conjunction with its General Counsel legal team are proud to present The No-fault Provider Survival Course. This course is specifically designed to aide providers in fully understanding all of the changes, while helping them to navigate within the new rules and regulations now imposed by the law.

The Significance of Following the 10 Rules for Provider Protection

Without following the 10 rules that providers must follow for provider protections, lives may be placed at risk and patients may be left without proper care. In order to help them to receive that care, providers must be prepared to take on the challenges these new laws create. After the course, providers will have covered the ten important rules listed below. The course will help providers to:

  • Determine applicable PIP Coverage Limits and Opt-Outs
  • Determine the Proper Payer of PIP Benefits
  • Know the Applicable Fee Schedules
  • Understand the “Reasonable Change” Problem
  • Submit Compliant and Timely Notice of Claims
  • Understand the New Utilization Review Process & Follow DIFS’ Rules
  • Understand Additional Restrictions on Care
  • Be aware of issues related to Insurance Medical Exams
  • Protect the New Provider Cause of Action & Set-Up Penalty Sanctions
  • Recognize the Importance of the Tort Case

No-Fault Provider Course Sign Up Date Options

Offered over several dates in a virtual half-day format, The No-Fault Provider Survival Course is available for providers to sign up online today. The first course will take place on July 21, 2021 from 9:00AM to 12:15PM. The course will take place again on Thursday, August 5 from 1:00PM to 4:15PM.

Registration for July 21, 2021 9:00AM-12:15PM:

Registration for August 5, 2021 1:00PM-4:15PM:

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