Practice Areas
Medical Provider Defense
When an insurer investigates your billing or a patient files suit, our office stands on the side of the provider — defending New York physicians, clinics, and medical practices.
For over a decade our firm has worked alongside New York’s medical community, recovering the no-fault benefits providers are owed. That same experience makes us effective on the other side of the table. When a carrier turns its tools against your practice — or when a patient brings a malpractice claim — we defend the provider. We understand both the medicine on the page and the courtroom it can end up in.
We represent solo physicians, group practices, and clinics of every kind, and we act quickly: nearly every one of these matters runs on a strict, unforgiving deadline. If you have received an examination-under-oath notice, a letter from an insurer’s Special Investigations Unit, or a summons, the time to speak with a lawyer is now.
No-Fault defense: when the insurer investigates or sues you
The same no-fault system that is supposed to pay a provider has become a battleground. Rather than pay a valid claim, carriers increasingly use examinations under oath, medical-exam cut-offs, fraud investigations, and lawsuits to deny payment and to challenge a provider’s very right to bill. Handled wrong — or ignored — these tactics can wipe out payment on entire blocks of claims. We defend against each of them.
We represent providers in:
- Examinations under oath (EUO) — preparation and representation
- Independent medical examination (IME) “cut-offs” and no-show denials
- Special Investigations Unit (SIU) fraud investigations
- Declaratory-judgment (DJ) actions filed by carriers in Supreme Court
- Allegations of improper ownership or corporate structure (the Mallela / “fraudulent incorporation” defense)
- Billing challenges — unbundling, down-coding, and fee-schedule disputes
- Insurer audits and refund, recoupment, or offset demands
Medical malpractice defense
When a patient sues, what is at stake is your reputation, your license, and your livelihood. We defend physicians and medical providers through every stage of a malpractice claim — from the first notice and demand, through discovery, depositions, and expert workup, to negotiation or trial.
If you carry malpractice insurance, your carrier will often appoint defense counsel; we can serve as, or work alongside, that counsel. We also address the related exposure a malpractice policy may not cover — billing and no-fault fraud allegations, and professional-conduct questions that can arise out of the same facts.
Our malpractice-defense work includes:
- Reviewing a summons and complaint and answering on the merits
- Coordination with your malpractice carrier and any assigned counsel
- Discovery, depositions, and defense of the medical record
- Retaining and preparing qualified medical experts
- Motion practice, negotiation, and trial
Who we defend
We defend the full range of New York medical providers and facilities:
- Physicians and medical practices
- Chiropractors
- Acupuncturists
- Physical and occupational therapists
- Diagnostic and imaging facilities
- Ambulatory surgical centers
- Durable medical equipment (DME) suppliers
- Multi-provider clinics and management companies
How we defend your practice
- 1
Move fast on the deadline
EUO dates, the time to answer a summons, and the statute of limitations are unforgiving. The first call should come as soon as you receive notice — early involvement protects your options.
- 2
Secure and review the record
We gather and protect the billing, treatment records, and correspondence that a carrier or a plaintiff will scrutinize, and we assess where you actually stand.
- 3
Build the defense strategy
Challenge an improper denial, defend an EUO, answer a declaratory-judgment action, or mount a malpractice defense — chosen for the facts of your matter, not a template.
- 4
Represent you through resolution
We represent you at arbitration, in Supreme Court, or in the malpractice action, and press the strongest defense the facts and the law allow.
Frequently asked questions
An insurer scheduled an examination under oath (EUO). Do I have to appear, and do I need a lawyer? +
An EUO is a formal, sworn examination, and failing to appear can be used to deny the claims at issue. You have the right to be represented, and preparation matters. We prepare you and appear with you.
A carrier filed a declaratory-judgment lawsuit against my practice. What happens if I ignore it? +
A declaratory-judgment action can end in a default judgment that eliminates your right to be paid on the claims it covers. It must be answered on time. If you have been served, contact a lawyer right away.
I already have malpractice insurance — why would I call you? +
Your carrier may appoint counsel, but you may want independent advice, and a claim can involve exposure your policy does not cover — billing or no-fault fraud allegations, or professional-conduct questions. We help you understand where you stand.
Do you defend chiropractors, physical therapists, and clinics — not only MDs? +
Yes. We defend the full range of New York medical providers and facilities, from solo practitioners to multi-provider clinics.
How quickly do I need to act? +
These matters run on strict deadlines — EUO dates, the time to answer a summons, and the statute of limitations. The sooner we are involved, the more options you have.
Where do you handle cases? +
We take cases in New York State.
Please note: we only take cases in New York State.