Court upholds pharmacists’ convictions in $13 million insurer billing fraud
Six pharmacists got paid for medicine that never left the shelf – and a federal appeals court just upheld their convictions....
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Eli Lilly Wins Court Order in Fraud Allegations Against Florida, TN Pharmacy Groups
Eli Lilly, one of the world’s largest pharmaceutical makers, has won a federal court order against leaders of a Tennessee church...
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Pierce County prosecutes first insurance fraud case under partnership with OIC
The Pierce County Prosecuting Attorney’s Office filed its first insurance fraud charges under an interagency agreement with the Office of the...
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Healthcare billing fraud: 10 recent cases
From two health plan vendors agreeing to settle Medicare Advantage fraud allegations, to the conviction of a New York clinic owner...
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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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