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.
Douglas R. Briggs, DC, Dipl. Ac. (IAMA), DAAPM, EMT
Dr. Douglas R. Briggs is the senior associate at First State Health and Wellness in Wilmington, Del. A graduate of Palmer College of Chiropractic, he has been a regular contributor to this publication since 2005, writing on the topic of "Things I Have Learned." Dr. Briggs has earned diplomate certification through the International Academy of Medical Acupuncture and is also credentialed as a diplomate in pain management through the American Academy of Pain Management. He has written and contributed to several articles and books on the topics of chiropractic, acupuncture, and natural healing, including the chapter on chiropractic and acupuncture in the legal nursing text Medical Legal Aspects of Medical Records.