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 Winchester, DC, FASBE(C), DAAPM, DAAMLP
Dr. Brett Winchester, a graduate of Logan College of Chiropractic, is an advanced biomechanics course instructor at Logan; instructor and board member for the Motion Palpation Institute; and a founding partner of Winchester-Hilgefort Spine and Joint Center outside St. Louis. He lectures worldwide on functional treatment that combines manual therapy, including joint manipulation and neuromuscular stabilization with therapeutic exercise. Dr. Winchester can be contacted at drwinchester@whsjc.com.