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Progressive properly rescinded coverage to a Michigan driver who made misrepresentations on their insurance application, the state Supreme Court ruled.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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Allstate accuses Chicago surgery center of running fraud scheme
Allstate is taking aim at a Chicago surgery center and a wide cast of clinics, owners and a billing company, accusing them of running a coordinated...
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Client Alert: Fourth Circuit Reverses Medicaid Fraud Convictions in U.S. v. Davis: A Reminder That Pattern Evidence Is Not a Substitute for Count-Specific Proof
Case Summary In an unpublished opinion issued April 24, 2026, a divided Fourth Circuit panel reversed two convictions under 18 U.S.C....
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