An interesting question has arisen as to who can collect no-fault benefits under New York law. New York regulations provide that only the patient and the provider can sue or arbitrate for medical benefits under the no-fault law. The question that arises is what happens when the provider assigns his medical benefits to a finance company or factor who purchases the accounts receivables or obtains a lien against them? (Learn more about how a factoring agreement works.)
Under New York law, the finance company or factor cannot sue to collect the receivables that are generated under the no-fault law because they are neither the provider nor the patient. Continue reading “Limitations of Factoring Agreements Under No Fault Law”
When you decide to sue, before you make that first move, you need to think through where you are going to file the lawsuit. Selecting a forum may have a major impact on both the costs and the results of the litigation. In many litigations there is more than one forum in which the lawsuit can be started.
In New York State, it can be brought in the county where the plaintiff lives, the county the plaintiff’s business is in, the county where the performance of the contract was to take place or the county in which the event giving rise to the suit occurred. Continue reading “Deciding Where to Initiate a Lawsuit”
In deciding whether or not to sue there are three important considerations, and without all three a lawsuit generally cannot succeed: (1) there must be a liability (or a basis for getting relief); (2) there must be damages (and under New York law damages are sometimes not easy to prove and may require expert testimony unless it is plain and easy to calculate); and (3) there must be a “pocket” or source of funds from the parties who are liable for the damages, to pay a judgment.
Many people commence lawsuits without having all three factors in mind. If you don’t have at least two of the three factors clearly defined in your mind — and at least a reasonable chance that the third factor exists — usually the lawsuit should not be brought. Continue reading “Important Considerations Before Launching a Lawsuit”
The Health Care Reform Law commits the government to more aggressive efforts to find and prosecute Medicare fraud. Under the new law, funding will be increased to aid those efforts. The number of Medicare Fraud investigative offices across the country will double, so the agency will have the people and resources to address this serious problem. Continue reading “The Health Care Reform Law — Is Your Practice at Risk?”
The recent fraud allegations against Goldy for their scheme with John Paulson are enough to turn one’s stomach. It’s not really any different than a coach betting on the opposing team and then playing only his second- and third-string players.
The big question is whether the Senate will maintain the attitude it showed during its grilling of Goldman CEO Lloyd Blankfein, or will the passage of time, and the replacement in the minds of the public by other stories, cause a reversion to business as usual. Continue reading “Goldman Sachs, Paulson and the SEC”