Business News

No-Fault Attendant Care and Reasonable Reimbursement

 

While the Michigan No-Fault Act was reformed in June of 2019, questions lingered as to payments stemming from losses that occurred before the change.

We can help you stay on top of the latest news that affects your everyday life. Subscribe to stay up to date. (To subscribe to our blog ).

Before the changes, provider reimbursement was only limited to reasonable and customary charges. There was also no cap on hours that families could charge for attendant care.

The reform introduced a fee schedule with limited reimbursement and caps on physician charges.

A recent case made it to the Court of Appeals. In the case, the plaintiffs were injured prior to the changes made to the No-Fault Act. They did not want their care to be subject to the fee schedule and limitations.

The Court held that the date of the accident determined whether or not payment needed to be pursuant to the No-Fault Act or the reformation.

This case will likely make its way to the Michigan Supreme Court.

However, as it stands, it has added to confusion for insurance carriers. Insurance carriers have been handling claims as though limitations were in place, no matter when the accident occurred.

Payors have been paying claims according to the fee schedule for the past three years, regardless of the accident date.

It is likely this decision will impact insurance carriers, medical providers, and attendant care agencies.

Experts hope that the Michigan Supreme Court will take this case quickly to provide guidance.

If dealing with injuries from an old accident, you may need to review the old No-Fault Act.

If you need help with your polices, compliance, training and more, contact Rickard & Associates today.

We know you’re busy. Subscribe to our blog to get updates and news sent directly to your inbox!

We publish vital information on health law topics and news every Wednesday and Friday. To get this important information delivered directly to your mail box, subscribe today!

Do you need help with updating your Business Associate Agreement or negotiating contracts with third-party vendors? We can help. To contact us about your Business Associate Agreement, your vendor contracts or your other legal needs, call us today.

Recommended Posts

How to Effectively Impact Real Estate through Philanthropy

Indonesia Real Estate Properties For Sale In Indonesia Located on the tip of Marblehead Neck, this Massachusetts mansion comes with panoramic ocean views of Boston with personal steps main immediately into the ocean. Built in 1999, the 4 story estate has an elevator, a library, and a wet bar in the principle property. The 7,138 […]

 

Understanding the Basics of Cybersecurity for Individuals

100+ Technology Pictures Hq Obtain Free Pictures & Inventory Pictures On Unsplash “Frankenstein” serves as a cautionary story, exploring the risks of unchecked ambition and the potential for scientific innovation to go awry. “I, Robot” by Isaac Asimov is a seminal science fiction assortment of quick tales that explores the relationship between humans and robots. […]

 

The Future of Renewable Energy Technology

Bbc Innovation Technology, Well Being, Environment, Ai Explore the pros and cons of cloud computing for companies, including price financial savings and scalability in Netflix’s streaming service. Look at how machine studying is making predictive analytics better in areas like finance and healthcare. Explore how 3D printing creates custom-made implants, prosthetics, and drugs Technology news […]