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CPM from the Civil CourtJanuary 18, 2018

Advanced Recovery Equip. & Supplies, LLC v Maya Assur. Co., 2018 NY Slip Op 50022(U)(App. Term 2d Dept. 2018)

The CPM story has been a terrific coup for the medical providers.  The American Arbitration Association has consistently ruled in favor of the medical providers.  The Courts have generally confirmed arbitration awards.  A Civil Court has now taken the AAA position.  All that is now left is to see what the Appellate Courts will do.

This is one area where I think both DFS and WCB have dropped the ball.  Reimbursement rates have once again declined for surgeries and associated providers through regulation.  Yet, this piece of the surgery puzzle now has a larger price tag attached to it than the facility fee and the surgery fee.

Eventually, the regulators will do something…

 

One Response

  1. Sun Tzu says:

    Jason you are funny. You know insurers got away with highway robbery for years. A/C was utterly contrived scheme that is intended to drive post-surgical DME providers out of business. They are paying sometimes only 5% of the public rate. This stuff has to be delivered and assembled in the patient’s home, maintained and then removed. This is probably rico worthy, in fact.

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