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.
S. Scott Tauber, DC, DABCO, CPC
Dr. Scott Tauber is the COO and director of education for the American Institute of Personal Injury Physicians (AIPIP), which assists physicians in improving, protecting, growing and marketing their personal-injury practices. He is also a diplomate of the American Board of Chiropractic Orthopedists and a certified professional coder, and can be contacted via email at drscott@aipip.com.