Comp defense succeeds but medical necessity defense falters
Martin Plutno v Travelers Ins. Co., 2014 NY Slip Op 50412(U)(App. Term 2d Dept. 2014) (1) Simple fee schedule arithmetic may be performed by “defendant’s employee”:
Martin Plutno v Travelers Ins. Co., 2014 NY Slip Op 50412(U)(App. Term 2d Dept. 2014) (1) Simple fee schedule arithmetic may be performed by “defendant’s employee”:
Hercules Med., PC v Cabello, 2013 NY Slip Op 52186(U)(App. Term 1st Dept. 2013) “A fair interpretation of the evidence supports the trial court’s determination that
Lotus Acupuncture, P.C. v MVAIC, 2013 NY Slip Op 51925(U)(App. Term 1st Dept. 2013) “The affidavits submitted by defendant in support of its motion for summary judgment
Akita Med. Acupuncture, P.C. v Clarendon Ins. Co., 2013 NY Slip Op 51860(U)(App. Term 1st Dept. 2013) “The complaint seeks the difference between the amount billed by
Doctor of Medicine in the House, P.C. v Allstate Ins. Co., 2013 NY Slip Op 23357 (District Ct. Suffolk Co. 2013) “Paragraph 11 of the New
Shara Acupuncture, P.C. v Allstate Ins. Co., 2013 NY Slip Op 51731(U)(App. Term 2d Dept. 2013) “With respect to plaintiff’s claims for acupuncture services billed under
Gl Acupuncture, P.C. v State Farm Mut. Auto. Ins. Co., 2013 NY Slip Op 51748(U)(App. Term 2d Dept, 2013) “The claims had been denied on the
Ultimate v. State Farm Index #: 6319/12 (District Ct. Suffolk Co 2013) The argument raised by Plaintiff is that the claims representative was incapable of discerning
Flushing Traditional Acupuncture, P.C. v Geico Ins. Co., 2013 NY Slip Op 51538(U)(App. Term 2d Dept. 2013) The court has now explicitly held that a medical provider
One to One v. State Farm, Index #: 79955/10 (Civ. Ct. Bronx Co. 2013)(Gonzalez, JSC) In the normal and ordinary course of business in no-fault Special Term,
What’s the one thing acupuncture in New York no-fault and the anarchy in the US Senate about filibusters have in common? “The Constitutional option”. In the
Apple Tree Acupuncture, P.C. v Allstate Ins. Co., 2013 NY Slip Op 50413(U)(App. Term 2d Dept. 2013) “In the instant case, defendant failed to establish, as a
Viviane Etienne Med. Care, P.C. v Country-Wide Ins. Co., 2013 NY Slip Op 50199(U)(App. Term 2d Dept. 2013) “With respect to the claims seeking the sums
CPT CODE 99455 and 99456. The MOST abused CPT Codes that are billed. Of course, leave it to someone who bills for MUA and does not
Oriental World Acupuncture, P.C. v GEICO, 2012 NY Slip Op 51062(U)(App. Term 2d Dept. 2012) When one asks to be reversed, you have to figure someone
GEICO v. Ananguard (Index #: 16313/11)(Sup. Ct. Nassau Co. 2012) At the end of the day, a Nassau County Supreme Court justice (Sher, J.S.C.), following the
W.H.O. Acupuncture, P.C. v AIG Auto Ins., 2012 NY Slip Op 50755(U)(App. Term 2d Dept. 2012) “Contrary to plaintiff’s sole contention, defendant’s denial of claim forms
MIA Acupuncture, P.C. v Praetorian Ins. Co., 2011 NY Slip Op 21480 (App. Term 2d Dept. 2012) “With respect to the claims for acupuncture services rendered
Flatbush Chiropractic, P.C. v Metlife Auto & Home, 2012 NY Slip Op 50541(U)(Civ. Ct. Kings Co. 2012). The Plaintiff, Dr. Super’s brother runs a law firm
Ashraf Ashour Physical Therapy, P.C. v Interboro Mut. Indem. Ins. Co., 2012 NY Slip Op 50491(U)(App. Term 1st Dept. 2012) Defendant appeals from an order of