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.
Brandy Brimhall, CPC, CMCO, CCCPC, CPCO, CPMA
Brandy Brimhall has served the chiropractic profession since 1999. She holds multiple certifications in the areas of coding, compliance and auditing, and serves practices with training and implementation of regulatory guidelines, along with the coding / billing and revenue cycle processes. Brandy can be reached with questions at [url=http://www.sidecaredge.com]http://www.sidecaredge.com[/url].