Injury Firm Simon & Simon Settles With Feds Over Claims of Failure to Repay Medicare
Philadelphia personal injury law firm Simon & Simon has entered into a settlement with the government to resolve claims that it failed to reimburse Medicare for paying its clients' medical expenses, the U.S. Attorney's Office in Philadelphia announced late Wednesday.
January 09, 2020 at 09:36 AM
3 minute read
Philadelphia personal injury law firm Simon & Simon has entered into a settlement with the government to resolve claims that it failed to reimburse Medicare for paying its clients' medical expenses, the U.S. Attorney's Office in Philadelphia announced late Wednesday.
As part of the settlement, Simon & Simon will pay approximately $6,600 to the government stemming from Medicare payments for eight of the firm's clients.
Federal prosecutors alleged that at various points between 2014 and 2019, Medicare made conditional payments to health care providers to satisfy medical bills for the clients at issue. Prosecutors claimed that Medicare demanded payment, but the firm failed to satisfy the debt.
Simon & Simon CEO Marc Simon declined to comment on why the firm missed the payments, but said that the firm was "happy to reimburse" Medicare.
"We have worked hand in glove with Medicare since my firm opened in 2010 to reimburse them moneys they've paid on behalf of injured clients and we're happy to move forward and resolve these eight claims," Simon said in an interview Wednesday evening.
He added, "Without Medicare making payments for my clients' treatments and care, it would significantly hamper my firm's ability to bring claims against people for injuring clients and hamper access to doctors and treatment that my clients desperately need."
U.S. Attorney William McSwain said in a statement that the settlement should be a reminder to attorneys to follow the rules.
"This settlement agreement should remind personal injury lawyers and others of their obligation to reimburse Medicare when they receive settlement or judgment proceeds for their clients," McSwain said. "Lawyers need to set a good example and follow the rules of the road for Medicare reimbursement. If they don't, we will move aggressively to recover the money for taxpayers."
In addition to the lump sum payment, the U.S. Attorney's Office said Simon & Simon agreed to "(1) name a person responsible for paying Medicare secondary payer debts; (2) train the employee to ensure that the firm pays these debts on a timely basis; (3) review any additional outstanding debts to ensure compliance; and (4) provide written certifications of compliance."
Simon & Simon's settlement comes after a similar one between Rosenbaum & Associates and the government in 2018.
That settlement required Rosenbaum to pay a lump sum of $28,000 and to implement a compliance program that ensures the firm won't fall behind in reimbursing the government again.
Those allegations dealt with cases of nine clients the Rosenbaum firm did work for between 2011 and 2017, one of whom filed for bankruptcy. In these cases, the firm received payments from insurance companies, workers' compensation carriers and those liable for injuring the clients.
This content has been archived. It is available through our partners, LexisNexis® and Bloomberg Law.
To view this content, please continue to their sites.
Not a Lexis Subscriber?
Subscribe Now
Not a Bloomberg Law Subscriber?
Subscribe Now
NOT FOR REPRINT
© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.
You Might Like
View AllPhiladelphia Bar Association Executive Director Announces Retirement
3 minute readPhila. Jury Hits Sig Sauer With $11M Verdict Over Alleged Gun Defect
3 minute readPhila. Attorney Hit With 5-Year Suspension for Mismanaging Firm and Mishandling Cases
4 minute readTrending Stories
- 1Gibson Dunn Sued By Crypto Client After Lateral Hire Causes Conflict of Interest
- 2Trump's Solicitor General Expected to 'Flip' Prelogar's Positions at Supreme Court
- 3Pharmacy Lawyers See Promise in NY Regulator's Curbs on PBM Industry
- 4Outgoing USPTO Director Kathi Vidal: ‘We All Want the Country to Be in a Better Place’
- 5Supreme Court Will Review Constitutionality Of FCC's Universal Service Fund
Who Got The Work
Michael G. Bongiorno, Andrew Scott Dulberg and Elizabeth E. Driscoll from Wilmer Cutler Pickering Hale and Dorr have stepped in to represent Symbotic Inc., an A.I.-enabled technology platform that focuses on increasing supply chain efficiency, and other defendants in a pending shareholder derivative lawsuit. The case, filed Oct. 2 in Massachusetts District Court by the Brown Law Firm on behalf of Stephen Austen, accuses certain officers and directors of misleading investors in regard to Symbotic's potential for margin growth by failing to disclose that the company was not equipped to timely deploy its systems or manage expenses through project delays. The case, assigned to U.S. District Judge Nathaniel M. Gorton, is 1:24-cv-12522, Austen v. Cohen et al.
Who Got The Work
Edmund Polubinski and Marie Killmond of Davis Polk & Wardwell have entered appearances for data platform software development company MongoDB and other defendants in a pending shareholder derivative lawsuit. The action, filed Oct. 7 in New York Southern District Court by the Brown Law Firm, accuses the company's directors and/or officers of falsely expressing confidence in the company’s restructuring of its sales incentive plan and downplaying the severity of decreases in its upfront commitments. The case is 1:24-cv-07594, Roy v. Ittycheria et al.
Who Got The Work
Amy O. Bruchs and Kurt F. Ellison of Michael Best & Friedrich have entered appearances for Epic Systems Corp. in a pending employment discrimination lawsuit. The suit was filed Sept. 7 in Wisconsin Western District Court by Levine Eisberner LLC and Siri & Glimstad on behalf of a project manager who claims that he was wrongfully terminated after applying for a religious exemption to the defendant's COVID-19 vaccine mandate. The case, assigned to U.S. Magistrate Judge Anita Marie Boor, is 3:24-cv-00630, Secker, Nathan v. Epic Systems Corporation.
Who Got The Work
David X. Sullivan, Thomas J. Finn and Gregory A. Hall from McCarter & English have entered appearances for Sunrun Installation Services in a pending civil rights lawsuit. The complaint was filed Sept. 4 in Connecticut District Court by attorney Robert M. Berke on behalf of former employee George Edward Steins, who was arrested and charged with employing an unregistered home improvement salesperson. The complaint alleges that had Sunrun informed the Connecticut Department of Consumer Protection that the plaintiff's employment had ended in 2017 and that he no longer held Sunrun's home improvement contractor license, he would not have been hit with charges, which were dismissed in May 2024. The case, assigned to U.S. District Judge Jeffrey A. Meyer, is 3:24-cv-01423, Steins v. Sunrun, Inc. et al.
Who Got The Work
Greenberg Traurig shareholder Joshua L. Raskin has entered an appearance for boohoo.com UK Ltd. in a pending patent infringement lawsuit. The suit, filed Sept. 3 in Texas Eastern District Court by Rozier Hardt McDonough on behalf of Alto Dynamics, asserts five patents related to an online shopping platform. The case, assigned to U.S. District Judge Rodney Gilstrap, is 2:24-cv-00719, Alto Dynamics, LLC v. boohoo.com UK Limited.
Featured Firms
Law Offices of Gary Martin Hays & Associates, P.C.
(470) 294-1674
Law Offices of Mark E. Salomone
(857) 444-6468
Smith & Hassler
(713) 739-1250