February 2025

In healthcare settings, the integrity of nursing documentation is critical to ensuring patient safety, regulatory compliance, and legal protection. Nursing notes, medication records, and care plans serve as official medical records that directly impact patient care decisions, reimbursement, and potential legal liability. When a non-nurse—someone without a nursing license—modifies, edits, or refines nurse-prepared documentation, serious […]

Aquatic therapy is an essential rehabilitative service for individuals recovering from catastrophic injuries, including those covered under Michigan’s Personal Injury Protection (PIP) No-Fault Insurance system. However, proper CPT Code usage and provider qualifications are critical to ensuring compliance with MCL 500.3157, which governs the legitimacy of reimbursable medical expenses. CPT Codes and Licensed Providers When

Medical billing is a complex process that requires a thorough understanding of Current Procedural Terminology (CPT) codes to ensure compliance with federal regulations and ethical billing practices. These codes are not just numerical representations of services—they come with specific definitions that outline the obligations for how services must be executed, including requirements regarding licensed professionals

Detroit, MI – In medical environments, billing accuracy is paramount—not only for ethical and financial reasons but also for legal compliance. When medical billing does not accurately reflect the services provided, responsibility can fall on multiple parties, including medical billers, healthcare providers, and even facility administrators. However, the legal implications can be severe, particularly under

Insurers in the Michigan Personal Injury Protection (PIP) system frequently use specific denial codes to reject or reduce payments for medical services, attendant care, rehabilitation, and other benefits. Below is an overview of commonly used denial codes and their meanings: Understanding these denial codes is crucial for providers and case managers to challenge inappropriate denials,