This episode of the Deep Dive discusses various aspects of fraud within the legal system, particularly focusing on insurance fraud and staged accidents. We highlight recent criminal charges against individuals involved in a large-scale fraud ring and discuss how insurance companies are actively pursuing legal action to uncover fraudulent activities. We also touch on evolving defense strategies against such fraud, and note the impact of legal reforms in Florida on reducing auto insurance costs. Lastly, we address a peculiar tactic used by plaintiff attorneys regarding undocumented plaintiffs in jury selection and trial.

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This Deep Dive discusses several federal statutes that attorneys may violate by filing lawsuits with the knowledge or suspicion of fraudulent client identities. It highlights offenses such as fraud and related activities concerning identification documents, including the possession or transfer of false IDs with intent to defraud the U.S. government. Additionally, it covers making false statements or entries to federal agencies, healthcare fraud, and major fraud against the United States, particularly concerning large-value federal assistance or contracts. Finally, we discuss laws against possessing false papers to defraud the U.S. and penalties related to misrepresenting Social Security numbers for illicit gains.

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This episode of the Deep Dive discusses the  lawsuit filed by Uber Technologies, Inc. against several defendants, including two law firms and a medical practice, alleging a widespread fraudulent scheme. The complaint, filed in the United States District Court for the Central District of California, accuses the defendants of orchestrating fake personal injury claims stemming from minor traffic incidents involving Uber vehicles. Specifically, the suit claims attorneys directed clients to specific medical providers for unnecessary treatments and inflated billing on a lien basis, concealing secret agreements to discount these bills.

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This deep dive breaks down the "Second Amended Complaint" filed in the U.S. District Court for the Eastern District of New York by Roosevelt Road Re, Ltd. and Tradesman Program Managers, LLC (the Plaintiffs) against Subin Associates, LLP, and several individuals including Herbert S. Subin, Eric D. Subin, and Jorge Arturo Gonzalez Lupi, among others. The core of the complaint alleges a widespread fraud scheme involving staged construction accidents, fraudulent workers' compensation and personal injury claims, and unnecessary medical treatments designed to illicitly obtain payments from insurance carriers. The Plaintiffs claim damages resulting from this scheme, asserting that they were forced to incur substantial costs in defending against these fraudulent claims and paying out inflated settlements. The lawsuit includes RICO (Racketeer Influenced and Corrupt Organizations Act) violations and common law fraud charges, demanding treble damages and injunctive relief to stop the alleged unlawful conduct.

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Get ready for this Deep Dive!  This episode breaks down the federal Racketeer Influenced and Corrupt Organizations Act (RICO) lawsuit brought by Union Mutual Fire Insurance Company against Liakas Law, P.C., and Dean Liakas.  We discuss the Defendants'  request for a pre-motion conference to dismiss the complaint.

In response, Plaintiff's counsel from Willis Law Group not only refutes these points, asserting Union Mutual's direct injury as an insurer, they detail specific of the allegations and it details an unbelievable story of alleged fraud, connections, and an incredible and complex web of fraudulent activity, medical negligence, and so much more!  All in all emphasizing the sufficiency and detail of their RICO pleading, and distinguishing cited case law regarding litigation activity as a predicate act in this context.

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This mega sized Deep Dive breaks down the amazing Fraudemic Updates #69 issued by Khana Feld and their team of expert.  From New York to Florida this deep dive is packed with information!  Pull up a seat and get ready because there is a lot of information.

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This Deep Dive Virtual takes a look into the civil action Law Offices of Lawrence Perry Biondi, P.C. vs. Horn, Anteorkidia et al. in Westchester Supreme Court, focusing on alleged "ambulance-chasing" and unlawful client solicitation by the defendant firm, Wingate, Russotti, Shapiro & Halpern, LLP (WRSH). Taking a look at the plaintiff's claims for tortious interference, defamation, unfair competition, civil RICO, and conspiracy, asserting that Wingate (WRSH) engaged in a systemic campaign of poaching clients through financial inducements and deceptive tactics. It further summarizes extensive discovery, including affidavits and depositions from both sides, which either corroborate or deny allegations of cash offers, disparagement of Biondi, and coordination with medical providers like Air-On Physical Therapy to steer clients. We also discuss the procedural chronology of the case, highlighting numerous motions and judicial rulings, including the partial dismissal of some claims and the eventual stipulation of discontinuance, the reasons for which remain unknown but possibly related to evidentiary challenges regarding foreign witnesses.

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This Deep Dive looks at the Justice Department's 2025 National Health Care Fraud Takedown, a record-breaking enforcement action that resulted in criminal charges against 324 defendants, including medical professionals, for schemes involving over $14.6 billion in intended loss. The takedown also involved significant asset seizures totaling over $245 million and prevented an additional $4 billion in fraudulent payments. It highlights various fraud types, such as transnational criminal organizations exploiting patient identities and AI, fraudulent wound care, prescription opioid trafficking, and telemedicine and genetic testing fraud. This collaborative effort by multiple federal and state agencies, including the FBI and HHS-OIG, underscores a whole-of-government approach to combating healthcare fraud and emphasizes the use of advanced data analytics and a new Data Fusion Center to detect and prosecute these widespread schemes.

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This Deep Dive discusses how Liberty Mutual and its affiliated insurance companies are suing PARS Medical P.C., CADS Anesthesia Services PLLC, and several individuals for an alleged long-running scheme to commit no-fault insurance fraud in New York. The plaintiffs claim the defendants billed for services not rendered, medically unnecessary procedures, and at excessive rates, along with engaging in an unlawful referral and kickback arrangement with numerous other clinics. These alleged fraudulent activities, including various injections and "surgeries" often performed under unnecessary anesthesia, led to Liberty Mutual being wrongfully induced into paying over $827,000 for claims the defendants were not lawfully entitled to receive. The lawsuit accuses the defendants of violations of the Racketeer Influenced and Corrupt Organizations (RICO) Act, common-law fraud, and unjust enrichment, seeking both damages and a declaration that they are not obligated to make further payments.

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This Deep Dive discusses the details of the Memorandum & Order from the United States District Court, Eastern District of New York, concerning the case of Roosevelt Road Re, Ltd. and Tradesman Program Managers, LLC v. Herbert S. Subin, Eric D. Subin, Jorge Arturo Gonzalez Lupi, and John Does 1-50. The court ultimately dismissed the RICO claims because the plaintiffs failed to adequately demonstrate direct injury and proximate causation as required under RICO law, finding their injuries too attenuated from the alleged fraud. Additionally, the court declined to exercise supplemental jurisdiction over the remaining state law claims and granted the plaintiffs leave to amend their complaint, while also addressing a minor issue of plagiarism by the defendants' counsel for which no sanctions were imposed.

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