June 30, 2022 | New York Law Journal
The Anti-Kickback Statute's Role in Health Insurance Fraud CasesThe AKS and FCA are two of the most important federal fraud and abuse laws applicable in the health care context and, when acting in tandem, their power is multiplied.
By Michael A. Sirignano
10 minute read
May 05, 2022 | New York Law Journal
Rule 9(b) Pleading Requirements Under the False Claims ActThe governing law in the U.S. Court of Appeals for the Second Circuit, including the need to plead representative examples of fraudulent claims, derives from the Second Circuit's decision in 'U.S. ex rel. Chorches v. American Medical Response'.
By Michael A. Sirignano
10 minute read
March 03, 2022 | New York Law Journal
The Opioid Crisis: An Epidemic Exacerbated by FraudAs Michael A. Sirignano discusses in this edition of his Insurance Fraud column, opioid fraud (or allegations of such fraud) reaches into nearly every segment of the industry, from prescribing physicians and medical staff to pharmacies, and results in significant financial losses to private insurance carriers and government health insurance programs including Medicare and Medicaid.
By Michael A. Sirignano
10 minute read
January 06, 2022 | New York Law Journal
An Insurance Fraud Year in ReviewIt is not difficult to understand why insurance fraud remains such a key area of focus for government officials, carriers and attorneys.
By Michael A. Sirignano
10 minute read
November 04, 2021 | New York Law Journal
COVID-19 and the Explosive Rise of Unemployment Insurance FraudAt around one year into the COVID-19 pandemic, the Justice Department had publicly charged close to 500 defendants with criminal offenses based on fraud schemes connected to the pandemic involving attempts to obtain over $569 million from the U.S. government and others. Even now, criminal prosecutions have continued at a seemingly accelerating pace—including throughout New York. Evan H. Krinick and Michael A. Sirignano explore exemplary cases in this edition of their Insurance Fraud column.
By Evan H. Krinick and Michael A. Sirignano
10 minute read
September 02, 2021 | New York Law Journal
Confluence of Corrupt Interests Can Lead to Massive No-Fault FraudsIn this edition of their Insurance Fraud column, Evan H. Krinick and Michael A. Sirignano discuss 'U.S. v. Rose', in which prosecutors alleged that Anthony Rose, a/k/a "Todd Chambers" and his co-conspirators bribed 911 operators, medical personnel, and police officers for the confidential information of tens of thousands of motor vehicle accident victims.
By Evan H. Krinick and Michael A. Sirignano
8 minute read
July 01, 2021 | New York Law Journal
Compounding the Fraud: Questionable Billing by PharmaciesAs Evan H. Krinick and Michael A. Sirignano discuss in this Insurance Fraud column, fraud with regard to compounded drugs—customized medications that are tailored to the needs of individual patients—and the associated costs to federal health care programs and private insurance plans, remains rampant in New York and across the country.
By Evan H. Krinick and Michael A. Sirignano
9 minute read
April 11, 2006 | New York Law Journal
Appellate ReviewEvan H. Krinick and Michael A. Sirignano, partners with Rivkin Radler, report that a variety of recent appellate decisions in cases filed in Nassau or Suffolk Supreme Court have resolved important issues that often arise when lenders or other creditors seek to recover their debts.
By Evan H. Krinick and Michael A. Sirignano
8 minute read
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