September 26, 2024 | New York Law Journal
High-Profile Sports Insurance Fraud Rings: A Recent Conviction"Plainly, many believe that even audacious, high profile insurance fraud schemes will go unnoticed," write Michael A. Sirignano and Jennifer Abreu.
By Michael A. Sirignano and Jennifer Abreu
8 minute read
March 07, 2024 | New York Law Journal
Recent Guilty Pleas Highlight Illegal Control of Medical Practices, Kickbacks for Patient ReferralsThe final two defendants in 'United States v. Pierre' pled guilty to charges stemming from their involvement in an insurance fraud scheme. Pending sentencing, the guilty pleas conclude a two-year prosecution that exposed a scheme to hijack New York's no-fault insurance system for personal profit.
By Michael A. Sirignano and Sean Gorton
9 minute read
November 01, 2023 | New York Law Journal
'Public Disclosure' Bar Can Limit False Claims Act's Fraud SuitsLawsuits under the FCA can help to reduce fraud, and can lower the costs of federal insurance and other federal programs. One of the first things that parties bringing such actions, as well as defendants who are sued, should consider is whether the public disclosure bar applies.
By Michael A. Sirignano
10 minute read
August 31, 2023 | New York Law Journal
Fraudulent Incorporation Confirmed as Basis for Criminal Health Care Fraud ChargesIn his Insurance Law column, Michael Sirignano discusses how those who commit no-fault automobile insurance fraud using illegally owned and controlled medical corporations no longer have to be concerned solely about potential civil liability—they also should fear criminal prosecution.
By Michael A. Sirignano
9 minute read
July 06, 2023 | New York Law Journal
Fraudulent Injury Lawsuits and Unnecessary Surgeries Exposed in Trip-and-Fall SchemePersonal injury attorney George Constantine and orthopedic surgeon Andrew Dowd were convicted by a Manhattan federal jury late last year for knowingly profiting from a massive $31 million trip-and-fall accident scheme.
By Michael A. Sirignano
9 minute read
May 04, 2023 | New York Law Journal
Recissions Based on 'Material Misrepresentations' Can Help Combat FraudOne of the most powerful tools that insurance carriers have to challenge insurance fraud is to seek to rescind a policy based on a material misrepresentation in the application for the insurance.
By Michael A. Sirignano
10 minute read
March 02, 2023 | New York Law Journal
Health Care Fraud Tops DOJ's Annual False Claims Act Report—Again!In this article, insurance fraud columnist Michael A. Sirignano explores the health care-related information in the report in more depth and then discusses how this helps to understand the federal government's FCA enforcement priorities, as well as the priorities that private insurers should be contemplating.
By Michael A. Sirignano
10 minute read
January 05, 2023 | New York Law Journal
An Insurance Fraud Year in ReviewThis column surveys a variety of Southern District of New York cases from the past 12 months, highlighting the key features of these demonstrated (or alleged) insurance frauds.
By Michael A. Sirignano
10 minute read
November 03, 2022 | New York Law Journal
The Triple Threat of Workers' Compensation FraudUnfortunately, workers' compensation insurance programs on both the state and federal level are often "rife with fraud." In his Insurance Fraud column, Michael Sirignano discusses the three groups that are often involved in the fraud—employees, employers, and health care providers—and highlights the various schemes frequently used by each.
By Michael A. Sirignano
9 minute read
September 01, 2022 | New York Law Journal
As Telemedicine Expands, Insurance Fraud GrowsTelemedicine will no doubt continue to play an expanded role in the health care system. Yet both practitioners and insurers should be aware of the potential for abuse of these telemedicine services and the criminal, civil and administrative ramifications.
By Michael A. Sirignano
9 minute read
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