After agreeing to a settlement with every state in America more than 18 months ago, insurance giant American International Group (AIG) is finally starting to make the payments first agreed to in December 2010. This settlement resulted from AIG failing to properly report premiums for workers compensation between 1985 and 1996. According to the settlement, [...]
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The Significance of California’s Ruling Against Balance Billing
In 2009, the California Supreme Court ruled that hospitals could no longer charge patients when they felt as though they had been shortchanged by the patient’s HMO plan. Between 2005 and 2007 an estimated 1.76 million insured people went to emergency rooms and were billed for the difference afterwards. The decision about this practice, also [...]
Defendant Pleads Guilty in Philadelphia Housing Authority Insurance Fraud Case
Insurance fraud cases are unfortunately all too common, but there is a particularly large story receiving a lot of attention. This one involves Kobie T. West and the Philadelphia Housing Authority with a claim amount of $2.3 million. Kobie T. West is accused of exploiting changes in insurance costs to improperly pay himself thousands of [...]
$450K Medicare Settlement to US Government for Allegations Under False Claims Act
A Connecticut healthcare facility agreed to a $450,000 settlement to the U.S. government recently for allegedly violating the federal False Claims Act by falsifying and then covering up billing records regarding Medicare/Medicaid payments. New York City criminal lawyers at Bernfeld, DeMatteo & Bernfeld, L.L.P. have assisted the SettlementBoard editorial team in identifying topics of importance [...]
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