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THE MEDICAL NECESSITY OF PROFESSIONAL REHABILITATION

Far too often a nurse reviewer will decide simply from looking at the duration of a clinical or rehabilitative service that it should be discontinued.  What science these decisions are based upon is not always shared when insurance companies or government departments make them.  However, there are several important factors which are often ignored.  Further, […]

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In Michigan PIP System Know Utilization Documentation Rules

One process that can be used when providers feel an insurer has acted unethically or has ignored market realities in pricing services is the Utilization process.  This is available via the Michigan Department of Insurance and Financial Services.  Its availability does not mean that litigation and negotiation cannot continue to be utilized. It is a

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