The Federal Trade Commission (FTC), U.S. Department of Justice Antitrust Division, and offices of state attorneys general along with the Canadian Competition Bureau, European Commission Directorate General for Competition, and U.K.’s Competition and Markets...
New York Health Care Lawyers Who Have Decades Of Combined Experience

Month: March 2021
NY to insurance providers, cannot deny claims for administrative reasons
In a recent win for hospitals throughout the state, the New York Department of Financial services recently stated insurance providers cannot deny hospital claims based on “administrative reasons.” More specifically, the letter states that insurance provers cannot deny...
Feds investigate NY pharmacy, charge owners with healthcare fraud
The United States Department of Justice (DOJ) recently announced criminal charges against two pharmacy owners from New York. According to the feds, the two were part of a $30 million healthcare fraud scheme that included improper use of a new emergency code,...
Medical board investigation can be beginning of bigger problems
An investigation by your state medical board is a big deal. It can lead to steep fines and even a revocation of your medical license, making it impossible to continue your practice in that state. Unfortunately, this could just be the beginning. In some cases, an...
NY doctor gets four-year ban from Medicare for health care fraud
The Manhattan U.S. Attorney recently announced civil and criminal health care fraud cases against a vascular surgeon out of Manhattan. According to the prosecution, the doctor fraudulently billed Medicare for vascular surgeries involving end-stage renal disease (ESRD)...
Can doctors attend Zoom court hearings from work?
The state medical board is investigating a surgeon who attended a Zoom traffic court meeting while in the operating room. A courtroom clerk asked the physician if he was in an operating room and the physician confirmed. He stated that he was available for trial, as...
What happens if my business is accused of a Medicare overpayment?
The United States Department of Justice (DOJ) recently accused New York health service company Cigna of over $1 billion in Medicare overpayments from 2012 through 2017. The feds state the insurance provider intentionally misrepresented health conditions to justify...
Can a doctor’s mistake lead to criminal manslaughter charges?
The New York Attorney General’s office recently announced that a local physician was facing criminal charges in connection to the overdose death of a patient. The prosecution claims the physician prescribed a mix of opioids even though he was aware the patient had...
New Jersey lawmakers push for hospice care reform
Lawmakers in New Jersey are working to reform the regulations surrounding hospice care in the state. Governor Phil Murphy has already singed one proposal into law and two additional proposals are currently under consideration. Lawmakers point to the fact that New...