Subject Numbers Regarding Health Provider Authorizations

Authorization No. S10816-7B

April 11, 2014

Pursuant to Workers' Compensation Law Section 13-d(4), the Chair of the New York State Workers' Compensation Board has exercised his authority to temporarily suspend Dr. Jay Seitz’s authorizations to treat injured workers and to perform independent medical examinations in the New York State workers’ compensation system effective March 4, 2014. Dr. Seitz's last known business address is 590 West End Avenue, New York, New York, 10024.

The Chair's designee's investigation revealed that on or about December 11, 2012, an Indictment was filed against Dr. Seitz in the Southern District of New York alleging, in addition to other charges, counts of Mail Fraud and Health Care Fraud in that on or about 2004, Dr. Seitz participated in a no-fault insurance fraud scheme. Between 2004 and December of 2008, he submitted fraudulent insurance claims for psychological services provided to persons purportedly injured in automobile accidents, and he claimed to have provided psychological services to patients at No-Fault Clinics that were, in fact, provided by staff members employed by his professional corporation in violation of Title 18 United States Code, Sections 1341, 1347, and 1349. This resulted in No-Fault insurance providers reimbursing over $2 million of claims submitted, in part, on behalf of Dr. Seitz’s professional corporation. This carries a forfeiture allegation of all property, real and personal, that was derived from the proceeds associated with the allegations.

Therefore, the Chair believes that Dr. Seitz may be guilty of misconduct, and that such misconduct would detrimentally affect the quality of care provided to injured workers.

Dr. Seitz is prohibited from rendering treatment and care to injured workers and from performing independent medical examinations while his authorizations are temporarily suspended. Reports submitted by Dr. Seitz for services rendered prior to March 4, 2014, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Seitz for services rendered prior to March 4, 2014 should not be denied due to the suspension of his authorizations.