Splint supplier and its president to pay over $10M to resolve false Claims Act allegations
Maryland-based splint supplier Dynasplint Systems Inc., and its founder and president, George Hepburn, have agreed to pay approximately $10.3 million to...
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Spousal privilege exception applied in arson case
An appeals court rejected a man’s claim that his wife was improperly allowed to testify at his arson trial about statements...
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New Jersey court says insurers can rescind a policy for premium fraud
On December 1, 2015, in DeMarco v. Stoddard, the New Jersey Supreme Court, in a 5–2 decision, reversed an Appellate Division...
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Application fraud by foot doc leaves injured patient with no recourse to collect
An Ocean County man who sued a former Toms River podiatrist for malpractice after foot surgery left him with a permanent...
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Medical providers in Illinois say health plan employees stole claims payments
A group of Cook County health care providers is suing health insurance giant Cigna and other health-related businesses, alleging embezzlement and...
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Jury in Virginia acquits prominent skin doc of 41 counts of fraud
A federal jury found a prominent Northern Virginia dermatologist not guilty Monday of defrauding insurance companies by making false claims and...
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Court in New York reverses fraud conviction against insurance agent
A state appeals court has reversed a conviction and dismissed the indictment of an insurance agent accused in a fraud case...
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Former owner of Edgewater Medical Center sentenced to 21 months for willfully impeding efforts to collect $188 million in civil judgments
The former owner of Edgewater Medical Center on Chicago’s North Side was sentenced today to 21 months in federal prison for...
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United States resolves $237 million false claims act judgment against South Carolina hospital that made illegal payments to referring physicians
The Department of Justice announced today that it has resolved a $237 million judgment against Tuomey Healthcare System for illegally billing...
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California Supreme Court decision holds insurers to policy obligations
A recent unanimous State Supreme Court decision (Fluor v. Superior Court (Hartford)) ensures policyholders are protected from insurers refusing to cover...
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