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.
We Get Letters & E-Mail
"Wrongly Accused"
Dear Editor:
As a consultant on the same project as Dr. Triano, with the same proposed rule, I too have been wrongly accused of teaching MDs to manipulate. (Editor's note: See "A Public Apology to John Triano, DC, MA" in "We Get Letters" DC, 9-22.) I heard some secondhand talk of my being a traitor, and saw my name derogatorily attached to the project in a chiropractic newspaper. I remain glad that I did not receive any death threats.
I would simply like to reinforce that there was no planned or actual DC teaching of MDs in this project, nor is there likely to be any. Our role was supposed to be simply one of consulting; in reality, there has not even been significant DC consultation in any phase of the project, including planning, execution or analysis.
Geoffrey Bove, DC, PhD
Associate Professor, Odense University
Odense, Denmark
gbove@imbmed.ou.dk