AmTrust insurers sue New York law firm and surgeons over alleged fraud scheme
Insurers are fighting back. A trio of AmTrust carriers has filed a federal racketeering suit against a New York law firm, surgeons, and...
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United States Announces $36.5 Million Settlement Of Medicare Fraud Lawsuit Against Matrix Medical Network
United States Attorney for the Southern District of New York, Jay Clayton, and Special Agent in Charge of the New York...
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Insurance companies accuse medical providers of fraudulent billing and kickback scheme
Allegations of fraudulent billing practices and illegal kickbacks have been raised in a new federal lawsuit that seeks to recover more...
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Massachusetts sues UnitedHealthcare over alleged MassHealth payment fraud
Massachusetts Attorney General Andrea Joy Campbell has sued UnitedHealthcare for allegedly misrepresenting members’ health conditions to defraud the state. The insurer...
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The “Inherent Risk” of Staged Collisions and the Limits of Sentencing Stipulations
In a significant win for law enforcement and the insurance industry, the Tenth Circuit recently affirmed a 48-month sentence for a...
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Calif. appeals court rejects bid to seal records in comp fraud case
A California appeals court affirmed the denial of an attorney’s petition to seal arrest records stemming from a workers compensation fraud...
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Skilled Nursing Facilities Agreed to Pay $52,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing Excluded Individuals
After they self-disclosed conduct to OIG, Country Hills Post Acute, Lakeport Post Acute, Oakwood Gardens Care Center, Primrose Post Acute, and...
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Advanced Urology Agrees to Pay $14 Million to Settle False Claims Act Allegations
On April 2, 2026, the U.S. Attorney from the Northern District of Georgia announced that Jitesh Patel, M.D., Advanced Urology, Inc., and affiliated...
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Michigan High Court Sides With Progressive in Policy Misrepresentation Case
Progressive properly rescinded coverage to a Michigan driver who made misrepresentations on their insurance application, the state Supreme Court ruled. Plaintiff...
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Big deal on Medicaid fraud: what we know about a major settlement
North Carolina and federal prosecuters have taken a big bite out of Medicaid fraud with a settlement announced Wednesday (May 6)....
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