A married couple from Miami, who co-owned and operated the now-defunct Flores Home Health Care, was sentenced on December 2 for their involvement in an $8 million health care fraud scheme. Miguel Jimenez, 43, was sentenced to...
Insights
Motion for Rehearing of Florida PIP Injunction is Denied
November 26, 2013
On November 26, 2013, the First District Court of Appeals dismissed a motion for rehearing on its October ruling to reverse an injunction placed on reforms to Florida’s PIP system. The reforms, contained within HB 119 and...
MGA Insurance Granted Summary Judgment in PIP Staged Accident Case
November 22, 2013
In an August 15, 2013 decision in Miami-Dade County Court, Defendant MGA Insurance Co. was granted Summary Judgment against Plaintiff Febre’s Medical Center on the grounds that no genuine issue of material fact existed, and...
Mobile X-Rays Lead to Summary Judgment in Milo v. State Farm
November 15, 2013
Plaintiff Milo Diagnostic Center filed suit against Defendant State Farm to recover PIP benefits for mobile x-rays provided to Pedro Barreto, a State Farm insured. According to Florida PIP Statute Section 627.732(2) (2006),...
UAIC v. Atlantic Medical Specialty
November 13, 2013
Atlantic Medical Specialty (Atlantic) provided treatment to Manuel Floyd, an individual insured by United Auto, following a November 19, 2007 automobile accident. Atlantic subsequently filed a PIP claim with United Auto,...
Miami Court Rules on Reasonable and Unreasonable Charges
November 6, 2013
In an October 8, 2013 ruling in the matter New Medical Group, Inc. vs. United Automobile Insurance Company by Judge King in the County Court of Miami-Dade County, the court held that an insurer is not required to expressly...
Six Arrested in Fort Myers and Port Charlotte PIP Fraud Ring
November 5, 2013
A tip from insurance company investigators and a cooperating witness helped bring down a PIP insurance fraud ring that was operating out of Evans Rehab Center in Fort Myers and Charlotte Wellness and Rehab in Port Charlotte....
Specialists in Florida’s Department of Financial Services, who have been trained to trace Personal Injury Protection (PIP) insurance fraud, will often spend months following paper trails, pursuing suspects, and managing...
Two undercover agents, covertly acting as patients who were injured in a car crash, uncovered alleged fraudulent insurance billing practices by Nadine Laurent at Optimum Medical Care in West Palm Beach. In April, the patients...
Florida Chief Financial Officer Jeff Atwater recently announced the arrest of former Jacksonville city council candidate Orlando Robles-Santana for insurance fraud. Robles-Santana has been charged with filing false insurance...