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.
Brett Penager
Brett Penager is a founding partner and co-owner of Medulla, LLC (www.medullallc.com), the health care management company that supports Chiro One Wellness Centers (www.chiroone.com) and MyoCore (www.myocore.com) with over 88 offices nationwide and growing. A 4X Top 10 Crain's Business Weeks Fast Fifty and 3X Inc. 500/5000 award recipient, Medulla is the largest privately owned chiropractic health care organization in the world and partnered with PE firm Vistria, resulting in a first-ever chiropractic organization nine-figure transaction. For more information, email Brett at brett.penager@medullallc.com.