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Livonia, MI:  (Note some reference links added, including corporate Blogs.) In Michigan No‑Fault injury cases—especially those involving traumatic brain injury (TBI) and spinal cord injury (SCI)—accurate characterization of medically necessary services is not just important; it is foundational to patient safety, statutory compliance, and fair reimbursement. Unfortunately, a persistent problem has emerged: insurers misapplying the […]

Livonia, MI – When a document prepares arranges documentation for a rehabilitation provider, this must be based upon what the treating therapist communicates. This includes goal setting. This item provides a basis for determining what the therapist should communicate. Then the document prepares takes those s notes and prepares service documentation. At the end of

By Electronic Medical Services, LLCMedical foster care providers across the country— and especially in states with strong post-accident rehabilitation mandates, such as Michigan—are facing an ever-growing challenge: caring for residents whose medical, behavioral, or quadriplegic conditions far exceed what traditional “general supervision” models can safely support. For these populations, Attendant Care is not a luxury;

By Direct Care Training & Resource Center, Inc. In the dynamic and evolving field of residential care—especially in settings such as Adult Foster Care, Medical Foster Care Homes, and other community-based alternatives—there is often a need to clearly distinguish between informal resident engagement activities and billable skilled interventions. Misunderstanding this difference can result in regulatory

By Electronic Medical Services and Direct Care Training & Resource Center, Inc. A recent Michigan court ruling and guidance from the Department of Insurance and Financial Services (DIFS) underscore a critical point for post-acute care providers: reasonableness is not merely about what you charge—it also encompasses what you do, how you do it, and whether

By Bruce W. McCollum, Long-Term Care Project Developer In the care industry—especially in complex, high-stakes sectors like workers’ compensation and Michigan’s Personal Injury Protection (PIP) system—providers must walk a fine line. On one side lies the need for fiscal responsibility: collecting what is owed, maintaining cash flow, and securing rate agreements that reflect the true

In Michigan’s Personal Injury Protection (PIP) system, insurers have increasingly adopted tactics to delay or avoid rightful reimbursement for essential services. One of these tactics includes requiring an injured party’s health insurance to first issue a denial before the PIP insurer will consider payment. However, this demand often disregards the reality that certain services—such as

By Direct Care Training & Resource Center, Inc. & Electronic Medical Services, LLC Providers delivering care in Michigan’s Personal Injury Protection (PIP) system must be aware of an often-overlooked financial adjustment that can impact reimbursement for attendant care services. When a foster care resident receiving 24-hour attendant care also participates in outpatient therapy sessions, insurers

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