New York's highest court of appeals has held that no-fault insurers cannot deny no-fault benefits where they unilaterally determine that a provider has committed misconduct based upon alleged fraudulent conduct. The Court held that this authority belongs solely to state regulators, specifically New York's Board of Regents, which oversees professional licensing and discipline. This follows a similar recent ruling in Florida reported in this publication.
I.Q. -- Interesting Quote
Physician, Prescribe Thyself
"A (medical) physician who treats himself has a fool for a patient." -- Jason Christie, MD, commenting on his study that found 52 percent of medical residents at a university medical center self-prescribed.
Reference
Christie J, Rosen I, Bellini L et al. Prescription drug use and self-prescription among resident physicians. JAMA 1998;280:1253-55.
The study was conducted at the University of Pennsylvania Medical Center. Forty-two percent of the prescription medications were obtained from the hospital sample closet. Eleven percent of the residents got the drugs directly from pharmaceutical company representatives.