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.
Mark Kestner, DC, FIAMA, CCSP, CSCS
Dr. Mark Kestner, a graduate of Logan College of Chiropractic, practices in Murfreesboro, Tenn., utilizing manual and instrument joint manipulation, acupuncture, myofascial therapy, rehab techniques and associated therapeutic modalities. He has studied acupuncture from traditional and contemporary scientific perspectives for more than two decades. Dr. Kestner is a Fellow of the International Academy of Medical Acupuncture and holds a national board certificate issued by NBCE in acupuncture; he is also a member of the ACA Council on Chiropractic Acupuncture. Contact him with questions or comments via e-mail at mkestner@clinicalacu.com.