Friday the Centers for Medicare and Medicaid Services extended a temporary ban on nonemergency ambulance and home health care agencies throughout six states, including Florida, as a continued effort to fight fraud. In...
Insights
Three from Miami Sentenced in $40M Medicare Fraud
August 8, 2016
Jorge Lorenzo, Yahima Pardo and Roberto De Jesus Alonso, all of Miami, were sentenced to prison and ordered to pay more than $40 million as a result of their involvement in what is considered the Medicare fraud scheme that...
The Third District Court of Appeal ruled in favor of red-light camera programs, setting up a disagreement between appellate courts and likely meaning the issue will go to the Florida Supreme Court. Red-light cameras run by...
Miami PIP Attorney Charged With Insurance Fraud
July 28, 2016
Miami attorney Anett Lopez was arrested on charges of taking part in a $1.5 million personal injury protection (PIP) fraud scheme. Lopez is accused of filing lawsuits seeking reimbursements for the treatment of patients at...
Three Miami-Dade County residents were charged with conspiracy, obstruction, money laundering and healthcare fraud for their alleged involvement in a $1 billion scheme. Philip Esformes, 47; Odette Barcha, 49; and Arnaldo...
GEICO Wins Sanctions Against Law Firm, Auto Repair Shop
July 21, 2016
GEICO won a sanctions request in Florida federal court against a Mississippi auto repair shop and its law firm. U.S. Senior District Judge Gregory A. Presnell ruled that GEICO’s Motion for Attorney Fees was...
Another DCA Sides With Insurers on Fee Schedule Language
July 19, 2016
The Third District Court of Appeal recently ruled in favor of Allstate in a dispute over personal injury protection (PIP) reimbursements for medical services following an auto accident. The Third DCA now agrees with two other...
A routine traffic stop uncovered the scheme of a former employee of a health insurance company who stole the identities of customers. Quinzella J. Romer, 39, was sentenced to 32 months in prison and ordered to pay $16,264 in...
A Delray Beach doctor was sentenced to nearly four years in prison and ordered to pay more than $2.1 million after pleading guilty to healthcare fraud. Dr. Isaac Kojo Anakwah Thompson will have two years of supervised release...
A federal lawsuit filed by GEICO on June 9 provides an inside look at an elaborate windshield repair fraud scheme. The suit, filed in the Middle District of Florida, makes claims of fraud, unjust enrichment and RICO...