Understanding No-Fault Claims and Litigation


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About This Course

The concept of no fault claims is meant to reduce the cost and hassle of legal proceedings by systematizing compensation for certain incidents and injuries. But that doesn't mean that the process is simple or streamlined though it is one that every attorney needs to know.

This CLE course will present a thorough review of no fault claims and litigation including common defenses, proximate cause, non-ascertainable treatments, fraud, disqualification of a medical provider and defective no fault assignments. The course will review the importance of documentation, review the specifics of which medical facilities to use, explain benefits and the arbitration process.

Topics include:

  • Examinations Under Oath vs. Discovery Under Rules of Civil Procedure
  • Common Defenses
  • Medical Necessity
  • Proximate Cause
  • Use or Operation
  • Treatment Not Ascertainable Within One Year of the Date of the Accidents
  • Fraud
  • Disqualification of the Medical Provider
  • Defective No-Fault Assignment
  • Timing Considerations in Denial
  • What benefits are available and how do you gather proper documentation to support client’s entitlement to them
  • Importance of using med facilities which are familiar with NF, IMe’s
  • What to do in the event NF benefits are denied as the result of IME,
  • Arbitration of NF benefits
  • NF subro and how does it affect Plaintiff’s case, etc.

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