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.
Paul E. Dougherty, DC, DABCO
Dr. Paul Dougherty, primary author for this month's "Chiropractic in the APHA" column, chairs the Chiropractic Health Care section of the APHA. Contributing to this article is Toby King, executive director of the U.S. Bone and Joint Decade.