On April 1, 2025, the Superior Court of New Jersey ruled in favor of Allstate in a long-standing insurance fraud case involving a medical facility and its managing doctors. The court found that a chiropractor and others operated under an unlawful business structure that violated the New Jersey Insurance Fraud Prevention Act (IFPA). The court … Read more
On August 7, 2024, a Superior Court judge agreed with Partner Douglas M. Alba’s arguments and awarded summary judgment to Kennedy Vuernick LLC’s insurer client, finding that the main medical provider defendants violated the Insurance Fraud Prevention Act (“IFPA”) from 2007 to 2015, when they conspired to allow a chiropractor to unlawfully employ medical doctors/osteopaths. … Read more
Kennedy Vuernick, a leading legal firm specializing in anti-fraud cases, is pleased to announce a groundbreaking victory in a Medicare fraud lawsuit. The firm has secured a settlement of $82,752.12 in what is believed to be the first-of-its-kind case involving Medicare “balance billing” violations. The settlement brings resolution to allegations against Dr. Lewis Wetstein, M.D., … Read more
PHILADELPHIA — The Third Circuit U.S. Court of Appeals affirmed a district court’s grant of summary judgment to a commercial insurer on its declaratory judgment and statutory fraud claims against its auto repair shop insured. The Third Circuit found that the insured waived its argument that it did not knowingly provide misleading or false information … Read more
Congratulations to our colleague Gabrielle Pohlman for obtaining a $1.6 million summary judgment against the sham owner of an acupuncture clinic. Gabrielle then successfully defended the judgment on appeal. There is nothing we like more than putting money back in the pockets of our clients. https://www.njcourts.gov/attorneys/assets/opinions/appellate/unpublished/a5340-17.pdf?c=Db4
Appellate Division upholds $1.6 million insurance fraud judgment won by Kennedy Vuernick The Appellate Division has upheld a judgment of approximately $1.6 million that Kennedy Vuernick obtained against the operator of an acupuncture clinic. Kennedy Vuernick represented Allstate Insurance Company, which sued under the Insurance Fraud Prevention Act. The suit alleged that the acupuncture clinic … Read more