Geico, the insurance giant, has embarked on an electrifying legal quest, aiming to recover over $1.8 million it paid out to a consortium of New Jersey physicians and practices for treatments allegedly riddled with fraudulence and medical redundancy. In a dazzling showdown, the insurance heavyweight filed a 172-page complaint in a New Jersey federal court, targeting The Osteopathic Medicine Pain and Rehabilitation Institute, Integrity Interventional Pain Management LLC, their proprietors, and a cadre of physicians linked to at least one of these enigmatic practices.
Geico’s Startling Allegations
Geico alleges that this cabal of physicians exploited these practices to submit a deluge of illicit claims for services supposedly provided to patients involved in vehicular mishaps, who were eligible for coverage under Geico’s no-fault insurance policies. In a narrative rife with perplexity and intrigue, Geico contends that these medical practitioners manipulated billing codes, artificially inflating the magnitude of services rendered to pad charges submitted to the insurer. What’s more, the insurer boldly proclaims that, in numerous instances, the services never saw the light of legitimacy, leaving us to ponder the extent of this sensational scheme.
Geico $1.8M Fraudulent Treatments : A Puzzling Timeline
This sensational saga, as per Geico, sprang to life no later than 2018 and has continued to unfurl its mystifying web. A spellbinding chronicle of deception and intrigue that stretches through time, leaving both the insurer and the defendants locked in a mesmerizing legal standoff.
A Plethora of Legal Confrontations
In this high-stakes legal showdown, Geico has thrown a diverse arsenal of legal challenges at the defendants, listing over a dozen causes of action. The alleged misdeeds, including unjust enrichment, fraud, violations of the New Jersey Insurance Fraud Prevention Act, and charges under the Racketeer Influenced and Corrupt Organizations Act, all contribute to the captivating drama unfolding in the courtroom.
Geico’s Expansive Offensive
This latest legal chapter on Monday continues Geico’s relentless offensive against alleged fraudulent billing in the medical world. Geico has been on a stormy rampage, prosecuting physicians in New York, New Jersey, and even Florida. A thunderous $2.3 million suit in April and a sensational $5.5 million suit in September are just a couple of examples of the insurer’s formidable legal blitz.
Geico $1.8M Fraudulent Treatments : A Silent Duel
While the legal battleground is set, Geico’s counsel remains enigmatic, offering no commentary on this heart-pounding legal duel. In contrast, the physicians and their practices have chosen to remain shrouded in silence, offering no immediate responses to the looming legal storm that threatens to engulf them.
Geico $1.8M Fraudulent Treatments : Legal Avatars
Representing Geico in this high-octane battle are Gene Y. Kang, Barry I. Levy, Max Gershenoff, and Colleen O’Neil of Rivkin Radler LLP, known for their prowess in legal warfare. On the other side of the legal abyss, counsel information for the defendants remained elusive as of Tuesday.