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No-Fault

271 articles by Jason Tenenbaum, Esq.

What is NY de Novo?

Learn what "de novo" means in NY personal injury and no-fault cases. Understand how de novo review provides a fresh start when arbitration awards or court rulings seem unfair.

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More Objective standards?

Learn about objective standards for no-fault insurance examinations under oath on Long Island. Expert legal analysis from Jason Tenenbaum. Call 516-750-0595.

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Self imposed ROM limitation

Learn how range of motion limitations affect personal injury cases on Long Island. Expert medical evidence standards after Mahler v Lewis. Call 516-750-0595.

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What is personal knowledge?

Learn about personal knowledge requirements in no-fault insurance legal testimony on Long Island. EUO standards and evidence rules. Call 516-750-0595.

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The CPLR 3212(g) paradigm

Learn about CPLR 3212(g) applications in New York civil procedure. Summary judgment and mailing presumption rules for Long Island practitioners. Call 516-750-0595.

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Avenues of Reimbursement

Explore two avenues of reimbursement in no-fault insurance: fee schedules vs. reasonable and customary charges. Florida court ruling on expert testimony methodology.

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Competing Assignees?

Florida court case examining the English Rule of priority between competing assignees in no-fault insurance claims, distinguishing assignees from insureds in payment order disputes.

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Fla 35-day timely submission

Florida's 35-day billing submission rule compared to NY's 45-day requirement - appellate court ruling against providers and strategic considerations for attorneys.

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Justification for a lt

New York no-fault case shows how healthcare providers can justify failure to comply with insurance verification requests during claims processing.

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Acupuncture

Court rules State Farm properly paid acupuncture claims using workers' compensation fee schedule for chiropractor services under New York no-fault insurance law.

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Insufficient excuse

Court rules medical provider failed to justify submitting no-fault claim to wrong insurer, despite claim form allegedly bearing correct carrier's information.

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Mutual rescheduling and its risks

Learn how mutual rescheduling of EUOs can impact disclaimer timeliness in NY no-fault cases. Court ruling shows risks when insurers can't prove mutual rescheduling occurred.

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EUOs/ $5000

Court rules healthcare providers cannot demand $5,000 upfront payment as condition for attending examinations under oath in no-fault insurance cases.

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Post EUO demands

State Farm v Burke Physical Therapy case analysis on post-EUO document demands and verification requirements under New York no-fault insurance law.

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Certified transcripts

New York appellate court clarifies when certified EUO transcripts establish non-appearance, highlighting the importance of personal knowledge in affidavit testimony.

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EUO’s and bust statements

Court rules EUO transcripts inadmissible as business records under CPLR 4518(a) when no examination occurred, highlighting evidentiary standards in no-fault cases.

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The one orthopedist rule

New York court ruling on medical examination limits in no-fault cases - when defendants can require additional IMEs and plaintiff protections against bias.

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Untimely 4404(a) motion

Court reinstated $1.2M verdict after defendants' untimely CPLR 4404(a) motion failed due to missing 15-day deadline without good cause shown for delay.

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Sufficient for a default

Analysis of State Farm v AK Global Supply Corp. case examining prima facie standards for proving staged accidents in New York no-fault insurance claims and EUO timing requirements.

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Yet Another Verification?

Nassau County court finds no-fault insurance verification demands unclear, denies carrier's summary judgment motion for disclaimer validity in State Farm v Burke Physical Therapy case.

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Interest.

Court ruling on no-fault insurance judgment interest rates: 2% monthly vs 9% yearly under Insurance Law § 5106(a) and former 11 NYCRR 65.15(h) regulations.

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Staged accident fraud

Learn about staged accident fraud in NY no-fault insurance cases. Court analysis of intentional collision factors including policy age, inconsistent testimony, and party relationships.

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5102(d) and pain

Court ruling on serious injury threshold where defense expert's failure to address absence of pre-accident pain undermines degenerative condition defense in NY no-fault case.

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Pa notice rule

Analysis of Pennsylvania notice-prejudice rule applied to NY no-fault cases, examining choice of law issues when out-of-state insurers provide coverage under New York's deemer statute.

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CPLR 3215(c) and 5015(a)

Attorney Jason Tenenbaum analyzes a procedural error in default judgment timing under CPLR 3215(c) and questions whether courts can overlook mandatory jurisdictional requirements.

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EUO to nowehere

Court rules insurance company failed to prove passenger status fraud when EUO transcript wasn't included in motion papers, despite having sworn application.

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Licensure

New York no-fault insurance licensure requirements for healthcare providers under 11 NYCRR 65-3.16(a)(12) - compliance issues and billing eligibility analysis.

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My body my choice

New York court affirms plaintiff's right to undergo surgery before independent medical examination, rejecting defendant's spoliation claims in personal injury case.

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$29 million

$29 million jury verdict for teen catastrophically burned in NYC school chemistry class fire - third-degree burns to 31% of body, multiple surgeries, skin grafts

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It is not a doc in the box

Court rules insufficient evidence to prove DME supplier lacked licensing, highlighting burden of proof standards in New York no-fault insurance defense cases.

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Interst-ing

Florida court affirms trial court ruling on no-fault insurance interest calculation dispute, applying de minimis doctrine to $4.17 controversy despite Progressive's error.

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Proposal For Settlement

Florida court upholds $76,000 attorney fee award under Rule 1.442 proposal for settlement in PIP case, with implications for New York no-fault practice.

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Evidence: The MRI report

Analysis of MRI evidence admissibility in New York no-fault cases, examining Madia v Garcia ruling and challenges with NY's evidentiary system for personal injury practitioners.

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Was it fraudulent billing?

Florida court examines whether billing code errors constitute fraudulent billing under no-fault insurance law, comparing to New York regulatory standards.

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MPPR reductions

Florida's 4th DCA ruled Progressive can apply Medicare's MPPR reductions to chiropractor bills despite Medicare not covering chiropractic services at all.

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Time period

Learn about CPLR filing requirements and time periods in New York courts. Expert analysis of Miller v Annucci case on notice of appeal filing deadlines and mailbox rule exceptions.

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80% of 200% of Medicare

Florida court rules GEICO must pay 80% of 200% of fee schedule, not 80% of billed amount, resulting in $100K attorney fee award on PIP claim.

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80% of 200% of Medicare Part B

Florida appeals court addresses complex PIP fee schedule calculations when billed amounts fall below 80% of maximum allowable charges, creating strategic payment options for insurers.

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Reasonable excuse/ default

Court finds insurance company established reasonable excuse for default by demonstrating detailed record-keeping practices that would have captured service of process.

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Is a PIP IME hearsay?

Analysis of PIP IME hearsay admissibility in New York no-fault insurance cases, comparing precedent with Florida's evolving appellate court decisions.

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Appellate Term fiction

Appellate Term Court creates questionable precedent on severance in no-fault insurance cases involving multiple accidents, departing from established law.

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Respond at your own peril

Court ruling on whether emails satisfy CPLR 2104 writing requirements in settlement agreements, analyzing Forcelli precedent and signature standards.

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Preclusion

Learn about preclusion rules in NY no-fault insurance law, including Fair Price family issues, material misrepresentation defenses, and how timely disclaimers work.

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Bad faith averted for another year

New York bad faith insurance claims face legislative challenges despite progressive majority. Analysis of third-party vs first-party bad faith standards and actionable carrier behaviors.

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Verification – MRI

Court ruling on MRI verification requirements in no-fault cases, addressing provider demands for reproduction costs and insurer verification rights.

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The Cuomo Toll

Court decision on COVID-19 executive order tolling periods for legal actions in New York, covering March 2020 to November 2020 statute of limitations suspensions.

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205 toll

Analysis of U.S. Bank N.A. v Jalas ruling on CPLR 3215(c) dismissals and seven-year delays in default judgment motions under New York law.

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Intention act on default

Court ruling on intentional acts and default judgments in New York no-fault insurance staged accident cases, with claims representative affidavits as evidence.

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Another Mailing Again

New York court ruling shows evolution in no-fault insurance mailing requirements, moving away from strict "duty to ensure compliance" standard for claims examiners.

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The NF-2 does not matter

NY appeals court clarifies EUO scheduling requirements in no-fault insurance cases, ruling that timely denials within 30 days don't require NF-2 form receipt.

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Why sir, that is illogical!

Analysis of Unitrin v Dowd case ruling that EUO no-shows void entire no-fault insurance policies ab initio, questioning the logic and consistency of this approach.

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The Unreasonable EUO

New York court ruling on unreasonable EUO scheduling practices, mutual rescheduling vs stonewalling, and no-show defenses in no-fault insurance claims.

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Florida no-fault may be dead

Florida's comprehensive no-fault insurance reform bill passes both houses, potentially eliminating PIP coverage and mandating BI coverage for the first time in state history.

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Pre and post claim EUO

Understanding when insurance companies can schedule examinations under oath in no-fault cases, whether before or after claim submission, based on recent court decisions.

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Comparative Negligence not found

New York appellate court clarifies that plaintiffs don't need to prove absence of comparative negligence for partial summary judgment on defendant liability in personal injury cases.

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Covid and the courts

COVID-19's impact on New York courts and the need for modernizing outdated 1970s court systems and procedures for current legal challenges.

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Working remotely

New York no-fault insurance attorney discusses adapting legal practice during COVID-19 remote work, including arbitration submissions and virtual hearings.

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Why are beaches still open?

Attorney Jason Tenenbaum questions inconsistent COVID-19 response policies in March 2020, examining why beaches remained open during early pandemic lockdowns.

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Handling a pandemic

New York no-fault attorney discusses handling the COVID-19 pandemic, praising New Yorkers' response while critiquing other states' approaches to crisis management.

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The Cornona Virus

Long Island personal injury attorney discusses how COVID-19 pandemic may transform court proceedings and no-fault insurance practice in New York.

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Reasonable excuse relaxed

New York court clarifies that reasonable excuse standards are relaxed for short-term defaults in no-fault insurance cases, providing relief for late responses.

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Another Statute of limitations

New York no-fault insurance statute of limitations analysis: when causes of action accrue and collateral estoppel defense strategies in medical provider cases.

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The Neptune rule

New York no-fault insurers must request examinations under oath within 30 days of receiving claims, or the requests become invalid under the Neptune rule.

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So what happened in Carothers?

Learn how the Carothers decision affects professional corporation licensing in New York no-fault insurance law. Expert analysis for healthcare providers. Call 516-750-0595.

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Happy Mother’s Day

Comprehensive guide to legal rights for mothers in NY. No-fault insurance, personal injury claims, family protections. Call 516-750-0595 for help.

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The marathon runner

Court dismisses no-fault case after plaintiff completed marathon post-accident, demonstrating no significant permanent injury to ankles or knees.

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What is this about?

First Department affirms arbitrators' decision allowing Travelers to recoup full payment under New York no-fault insurance law, finding determination was rationally based on statutes.

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TRUMP!

Court dismisses defamation case against Trump, ruling statements were too vague and subjective to be legally actionable under New York law.

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Arrest warrant not issued

Court denies arrest warrant for defendant who failed to comply with post-judgment subpoena in no-fault insurance case, despite contempt finding.

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The plight of Chimps

A New York appellate court ruled that chimpanzees cannot be considered "persons" under habeas corpus law, despite their human-like characteristics and cognitive abilities.

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MVAIC issues

Key MVAIC case law on timely claim filing requirements and police reporting obligations under New York no-fault insurance law, including coverage defenses.

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45-day rule denial not sustianed

New York court ruling shows insurance companies must provide detailed affidavits about mail handling procedures to successfully invoke the 45-day rule defense in no-fault cases.

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A day at the beach.

Beach accident case results in $2.2M verdict after police car strikes sunbather, requiring two cervical fusion surgeries. Key damages breakdown and legal implications.

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A gem regarding attorneys fees

Analysis of CIP Physical Therapy v. Lawsky case challenging DFS attorney fee regulations in New York no-fault insurance practice, comparing hourly fee systems across states.

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Failure to preserve argument

New York appellate courts apply inconsistent standards when deciding whether to hear unpreserved arguments for the first time on appeal, creating uncertainty for practitioners.

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SUM game changer

NY Court ruling on SUM insurance offsets changes game for motor vehicle accident claims involving non-motor vehicle tortfeasors like municipalities.

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The Pike maneuver

A witness in a personal injury trial claimed the plaintiff performed a "Pike maneuver" learned from watching TV's Cops show, highlighting unusual trial testimony.

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It was NOT mailed

No-fault insurance case highlights burden of proof for proper mailing. Insurance companies must establish complete chain of evidence when claiming notices were sent.

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Corporate v. individual

New York appellate court reinforces the long-standing rule that corporate officers must sign contracts individually to assume personal liability for business obligations.

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Non-Receipt substantiated

Court ruling in Compas Med. v Praetorian establishes that detailed mail receipt procedures can rebut presumption of claim receipt in no-fault insurance disputes.

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Another Alrof citing

New York appellate court reinforces Alrof precedent requiring personal knowledge proof for EUO non-appearance claims in no-fault insurance litigation.

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No right to appeal.

Understanding when appeals are prohibited in New York courts - a crucial reminder about vacated judgments and orders in no-fault insurance cases.

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The missing witness charge

New York court ruling on missing witness charges in civil trials - when courts should instruct juries to draw adverse inferences from a party's failure to call expected witnesses.

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Third-party vendor troubles

New York no-fault insurance carriers risk costly legal defeats when third-party mailing vendors fail to prove proper delivery procedures for claim denials.

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Welcome to my new site

Long Island attorney Jason Tenenbaum launches his new website in 2015, transitioning from his popular no-fault insurance law blog to provide enhanced legal content.

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Illogical

New York appellate court highlights inconsistencies in no-fault insurance law regarding IME request timing and policy voiding procedures in healthcare provider billing disputes.

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IME no shows reversed

Appellate Term clarifies burden of proof for insurers denying no-fault claims based on missed IMEs. Learn how proper documentation can reverse unfavorable trial court decisions.

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Another Golia on the bench

Attorney Jason Tenenbaum reflects on Hon. Donna Marie Golia joining the bench, following in her father Justice Joseph Golia's distinguished judicial footsteps.

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It is MVAIC again

Court decisions highlight differing approaches to MVAIC claims when vehicle owners are known versus unknown, affecting no-fault benefit recovery strategies.

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Skyped EBT

New York courts allow remote video depositions via Skype when plaintiffs cannot travel, providing flexible solutions for no-fault insurance litigation proceedings.

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Hearsay – It really is not

Expert legal analysis of People v Curran and hearsay evidence rules in New York. Learn how victim testimony affects personal injury cases on Long Island and NYC.

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Causation speculative

Court rejects medical opinions lacking objective basis for causation in no-fault case with prior injuries. Physicians must address pre-existing conditions to establish accident-related disability.

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Knowledge is quite a broad term

New York Court of Appeals clarifies that property owners need only notice of conditions, not that they knew those conditions were dangerous for negligence claims.

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Some evidentiary issues –

New York appellate court addresses key evidentiary issues including hearsay exceptions, interrogatory use for impeachment, and harmless error doctrine in civil litigation.

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Wrong on the law

Court incorrectly rules IME findings aren't conclusive for post-IME treatments in no-fault insurance case, contradicting established precedent.

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CPLR 5520 in action

CPLR 5520 case analysis: attorney served wrong party in no-fault appeal, court grants extension and stay despite procedural error in medical necessity dispute.

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District Nassau –

Attorney's experience with Nassau District Court's professional no-fault insurance proceedings, comparing their organized system to NYC venues and praising their adherence to IAS standards.

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IME no-show Florida style

Florida court rules on IME no-show case, finding unreasonable excuse for missing medical exam appointments despite notice issues in no-fault insurance claim.

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My day in court: by me

Attorney's firsthand courtroom experience arguing acupuncture fee schedule motions and IME cut-off cases in New York no-fault insurance litigation, including common defense arguments.

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An exercise in absurdity

New York no-fault insurance case analysis examining peer review evidence requirements and stipulation breaches in medical necessity defenses.

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The magic bus

Cuomo v Ferran case explores mobile dental treatment fraud and no-fault insurance implications involving converted Greyhound buses used as mobile dentist offices in New York.

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In today's law journal…

Attorney Jason Tenenbaum discusses why the fee schedule defense in no-fault insurance cases is fundamentally flawed and unjust to medical providers and injured parties.

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Many thanks

Legal networking in the digital age: How professional connections through blogs and online platforms benefit New York no-fault insurance attorneys and the broader legal community.

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Avoid the invectives

Great Wall case teaches NY attorneys to avoid personal attacks. Long Island lawyer explains professional conduct standards in court. Call 516-750-0595.

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