Prior rulings on acupuncture fee schedule and proof needed to oppose a medical necessity motion stand

If you were injured due to someone else’s careless actions, we understand the challenges you may be facing. As a victim or a surviving family member, you could be dealing with the life-altering consequences of a serious accident.

Gentle Care Acupuncture, P.C. v Geico Ins. Co., 2010 NY Slip Op 52226(U)(App. Term 2d Dept. 2010)

The Court here followed prior precedent and held as follow: 1) Chiropractor rate for acupuncture prevails; 2) Insufficient proof of medical necessity will not defeat a lack of medical necesity motion; 3) The initial visit cannot be denied as being out-of-scope.

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