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
Kennedy Vuernick, LLC, Partner Douglas M. Alba will provide his legal analysis of Electric Bicycles, Electric Scooters, Motorized Bicycles, and Complex Coverage Questions at the 2023 Pennsylvania Insurance Fraud Conference’s annual seminar on April 28, 2023. Along with his co-presenter, Nicholas Hamm, Director of SIU, New Jersey Property-Liability Insurance Guaranty Association, Douglas will provide … Read more
Congratulations to Partner Douglas M. Alba in convincing the Appellate Division to reverse the trial court’s dismissal of Kennedy Vuernick, LLC’s client’s Burlington County Fraud Complaint against an attorney and a law firm. The Burlington County Complaint arose from a Gloucester County trial judge’s denial of Kennedy Vuernick, LLC’s client’s motion to amend its … Read more
An opioid abuse treatment facility in Camden will pay a total of $3.15 million to resolve criminal and civil claims that it caused kickbacks, obstructed a federal audit, and fraudulently billed Medicaid. Camden Treatment Associates LLC (CTA) agreed to pay $1.5 million in criminal penalties to resolve allegations that it violated the federal Anti-Kickback Statute … Read more
NEWARK – Two owners of a New Jersey pharmaceutical marketing company admitted their roles in a $38 million compounded medication health care fraud scheme, U.S. Attorney Philip R. Sellinger announced. Samantha Zaretzky, 42, of Wayne, New Jersey, and Lee Nichols, 43, of Fair Haven, New Jersey, pleaded guilty by videoconference before U.S. District Judge John … 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
Kennedy Vuernick, LLC, Partner Douglas M. Alba provided his legal analysis of Electric Bicycles, Electric Scooters, Motorized Bicycles, and Complex Coverage Questions at the International Association of Special Investigative Units’ (IASIU) annual seminar on September 13, 2022. Along with his co-presenter, Nicholas Hamm, Director of SIU, New Jersey Property-Liability Insurance Guaranty Association, Douglas provided an … Read more
November 8, 2022 – Gloucester County Man Admits Fraudulently Obtaining More Than $400,000 in Unemployment Insurance Benefits. NEWARK, N.J. – A Gloucester County, New Jersey, man admitted that he illegally obtained more than $400,000 in unemployment insurance benefits, U.S. Attorney Philip R. Sellinger announced. Willie Carter, 23, of Paulsboro, New Jersey, pleaded guilty by videoconference … Read more
CAMDEN, N.J. – A former medical assistant was sentenced today to 24 months in prison for defrauding New Jersey state and local health benefits programs and other insurers of more than $1 million by submitting fraudulent claims for medically unnecessary prescriptions, Attorney for the United States Vikas Khanna announced. Aaron Jones, 28, of Willingboro, New … Read more
