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Personal Injury / Legal
Court Rules Against No-Fault Insurers - Again
Court Rules Against No-Fault Insurers - Again

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.

Jeff Randolph, Esq.
News / Profession
Chiropractic at Risk Globally
Chiropractic at Risk Globally

There has long been an attempt by those who are not legitimate doctors of chiropractic to usurp the title of chiropractor from those who have earned their degree from an accredited chiropractic program. This generally happens in countries where the local doctors of chiropractic have yet to pass legislation requiring a degree from an accredited institution. The result is essentially two chiropractic professions. Nowhere is this danger more pronounced than in Japan.

Dynamic Chiropractic Staff
Billing / Fees / Insurance
UHC/Optum Requires Preauthorization for Medicare-Covered Chiropractic Services
UHC/Optum Requires Preauthorization for Medicare-Covered Chiropractic Services

Effective Sept. 1, 2024, UHC/Optum is requiring prior authorization for the following services delivered in office and outpatient hospital settings, excluding services in the home: Medicare-covered chiropractic services (when billed with the AT-modifier), as well as physical therapy (PT), occupational therapy (OT), and speech therapy (ST).

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Samuel A. Collins