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
No Surprises Here
There are times when research confirms what is blatantly obvious. Chiropractors have long understood that back surgery often begets more back surgery, a phenomenon researchers recognize as "failed back surgery syndrome." Consider this announcement in the September 1996 issue of the Spine Letter:
At this years annual meeting of the International Society for the Study of the Lumbar Spine in Burlington, Vermont, a study was presented that found:
The "external compression caused by a retractor causes significant increases in intramuscular pressure and decreases local muscle blood flow, thus contributing to structural damage of the back muscles in posterior lumbar spine surgery."
It's gratifying to know that researchers are becoming more open about the risk of permanent damage involved in spinal surgery.