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.
Rob Berman, MBA
Rob Berman is a partner at Energia Medical, LLC (www.energiamedical.com). He helps health care providers improve patient outcomes while increasing provider income. Rob has held a variety of sales and marketing positions during his career, including building and managing a marketing department, directing product development and product management for multiple organizations, and serving as a general manager for a variety of business units. He can be contacted by phone at 860-707-4220 or by e-mail at rob@energiamedical.com.