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Category Archives: Insurance Fraud

PQA Files $5 Million Suit Against Owner of Ambulatory Surgery Center

PQA Files $5 Million Suit Against Owner of Ambulatory Surgery Center

On August 7, 2013, PQA filed a 15-count, $5.6 million lawsuit against the owner of a licensed ambulatory surgery center (“ASC”) on behalf of a Fortune 100 insurance company.   The suit alleges that the owner of the ASC paid more than $450,000 in kickbacks to an individual who acted as a “patient broker,” and who referred or caused patients to be referred for procedures to at the ASC.     The suit alleges that certain of the defendants violated the New Jersey Insurance Fraud Prevention Act, the federal Racketeer-Influenced and Corrupt Organizations (“RICO”) Act and the New Jersey RICO statute by engaging in an unlawful practice structure and paying unlawful kickbacks for the referral of patients.

PQA Wins $3.9 Million Verdict Against Chiropractor and Lawyer for “Doc-in-a-Box” Scheme

On September 11, 2012, the Honorable Stephan C. Hansbury, a New Jersey Superior Court Judge, entered an Order of Judgment pursuant to the New Jersey Insurance Fraud Prevention Act in the amount of $3,961,240 in favor of PQA’s client, a Fortune 100 insurance company, against a California chiropractor and a New York attorney.  The case… Continue Reading

PQA Files $3.3 Million RICO Suit

On May 15, 2012, PQA filed a 16-count, $3.3 million lawsuit against 22 defendants on behalf of a Fortune 100 insurance company.  The suit alleges a complex automobile insurance fraud scheme involving a one-room operating center, 10 medical facilities and 11 other defendants.  The suit alleges that certain of the defendants violated the New Jersey… Continue Reading

PQA’s Tom Mulvihill honored by Society of Investigators of Greater Newark

PQA attorney Tom Mulvihill was honored on November 11, 2011 by the Society of Investigators of Greater Newark (“SIGN”).   The group gave Mulvihill a Special Recognition Award for his work on behalf of a SIGN officer, who was served with a subpoena by a defendant in a pending insurance fraud lawsuit seeking information that related… Continue Reading

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