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Category: Medical Necessity

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Up up and away

Arnica Acupuncture, P.C. v Interboro Ins. Co. Motion No: M-6186 Slip Opinion No: 2015 NY Slip Op 76558(U) Decided on June 18, 2015 Appellate Division, First

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IME cut off not rebutted

Rummel G. Mendoza, D.C., P.C. v Chubb Indem. Ins. Co., 2015 NY Slip Op 50900(U)(App. Term 1st Dept. 2015) “[defendant] establish[ed] that it timely denied the

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Ime cut off succeeds

V.S. Care Acupuncture PC v MVAIC, 2015 NY Slip Op 50350(U)(App. Term 1st Dept. 2015) Defendant MVAIC made a prima facie showing of entitlement to judgment as

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Another Geffner sighting

Tsimbler v Fell, 2014 NY Slip Op 08982 (2d Dept. 2014) “In opposition, the plaintiff submitted the affidavit of a physician specializing in the field of internal

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PF-NCS – a thought

One of the “tests” that we see a lot of are on the run of the mill CPT, V-SNCT, PF-NCT.  Of course, if you ask a

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Medical necessity reversals

Promed Durable Equip., Inc. v GEICO Ins., 2014 NY Slip Op 51262(U)(App. Term 2d Dept. 2014) Civil Court of the City of New York, Kings County (Carol

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A triable issue of fact

New York Univ. Hospital-Tisch Inst. v Government Employees Ins. Co., 2014 NY Slip Op 03812 (2d Dept. 2014) “Here, the evidence submitted by the defendant demonstrated

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Stipulated to defeat.

All-In-One Medical Care, P.C. v. Government Employees Ins. Co., 2014 N.Y. Slip Op. 24070 (Dis. Ct. Nassau Co. 2014) This is what happens when we all stip

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