New York's highest court of appeals has held that no-fault insurers cannot deny no-fault benefits where they unilaterally determine that a provider has committed misconduct based upon alleged fraudulent conduct. The Court held that this authority belongs solely to state regulators, specifically New York's Board of Regents, which oversees professional licensing and discipline. This follows a similar recent ruling in Florida reported in this publication.
ACA Spearheading Chiropractic Practice Survey
An online national survey spearheaded by the AMA is underway that will be used to determine physician practice expenses. Mathematica, and independent research group conducting the survey, is sending the Physician Practice Information (PPI) Survey invitation to 10,000 physician practices and individual providers nationwide on a random basis.
How does this relate to doctors of chiropractic? The American Chiropractic Association, which joined more than 170 health care groups in support of the PPI Survey, has contracted with Mathematica to conduct a similar survey, the Clinician Practice Information (CPI) Survey, "on behalf of the chiropractic profession alongside nine other non-MD/DO healthcare organizations."
As of press time in early February, the random sample of chiropractors was due to start receiving email invitations to participate in the survey, which will be open through May. It is assumed that like the PPI Survey, information collected via the CPI Survey will help support payment advocacy by providing updated information on practice expenses, potentially increasing reimbursement for DCs and other providers.