Insurance and Healthcare Fraud Litigation

  • Provider and claimant EUOs
  • SIU defense
  • Affirmative actions on behalf of insurers

Goldberg, Miller & Rubin has become the premier law firm in the region specializing in healthcare insurance fraud litigation. With over 30 years of experience, we are recognized for our ability to identify patterns in claims and medical records, along with analyzing data, in order to help our clients resist making payments on fraudulent claims. Regardless of the venue, the GMR team consistently wins trials and helps our clients resist settling non-meritorious claims that are based on exaggerated, or even fraudulent, evidence. Not only do we use these tools to defend claims, but we provide consulting services to eliminate the costs caused by fraud and prosecute civil remedies against those who defraud our clients. These affirmative litigation actions may include claims under the federal RICO statute and state insurance fraud statutes, which both allow for the recovery of attorney fees.

Our team is one of the few in the country that has successfully secured trial victories against attorneys, physicians, chiropractors, diagnostic testing centers, pharmacies, and medical facilities engaged in healthcare insurance fraud. These successes include:

  • Jury verdict of more than 15 million dollars against a group of physicians, chiropractors, an MRI center, and a pharmacy for fabricating patient records and billing for unnecessary treatment, testing, and pharmaceuticals. The jury verdict not only included insurance benefits paid in PIP claims, but included payments made in third party, personal injury matters. The jury verdict was upheld by a federal appellate court.
  • Jury verdict of more than 7 million dollars against a chiropractic office, a chiropractor, and laypersons who owned and controlled the practice and submitted fraudulent bills and records. On the eve of trial, one of the defendants filed for bankruptcy in order to delay the matter. Our team successfully obtained an emergency dismissal of the bankruptcy. The jury’s verdict on damages included all PIP payments as well as payments made in the settlement of third party, personal injury matters.
  • Jury verdict of 1.5 million dollars against an attorney and a medical office for submitting fraudulent claims.

Armed with these victories, we achieve meaningful results for our clients by way of substantial settlements often without stepping foot into the courtroom. Additionally, through our forward-thinking consulting services, we help our clients limit their exposure on questionable claims and ensure that they are not damaged by fraudulent practices in the future.

Our insurance and healthcare fraud team assists insurers, and their special investigation units, in defending their policyholders in all forms of actions and proceedings including third party personal injury matters, declaratory judgment actions, and arbitration disputes. We also provide coverage opinions, conduct examinations under oath, and defend carriers in PIP, fire, property, theft, and UM/UIM matters.

Our team, co-chaired by Richard Castagna and Matthew Moroney, is committed to providing the highest quality legal representation in a results-oriented and cost-effective way. We invite you to learn more about our team by reaching out to Rich or Matt.

Practicing Attorneys

View entire team
Richard Castagna
Richard Castagna
Matthew Moroney
Matthew Moroney
Kristine Meindl
Kristine Meindl
Warren Holland
Warren Holland
Dana M. Koos
Dana M. Koos
Virginia King
Virginia King
Alexander Cogbill
Alexander Cogbill
Joel Feigenbaum
Joel Feigenbaum
Matt Lavoie
Matt Lavoie
Samantha Pullman
Samantha Pullman
Insurance and Healthcare Fraud Litigation
Insurance and Healthcare Fraud Litigation
Alexandra Markward
Alexandra Markward
Robert Bogle
Robert Bogle
Thomas Holmgren
Thomas Holmgren
Rich has dedicated his career to helping his clients combat health care fraud.  He counsels his clients on both routine and complex matters associated with healthcare fraud as well as those areas that parallel and intersect with this complex area of the law.  He works tirelessly to assist his clients in uncovering and ending abusive and fraudulent activities, while at the same time helping to ensure that his clients avoid the legal and financial pitfalls that often accompany such complex investigations.
Read More
Matt regularly counsels insurance carriers on multi-claim investigations involving healthcare providers located in New York, New Jersey, Pennsylvania, Delaware, and Maryland.  Matt and his team regularly analyze complex data, including medical records and billing, on an individual and multi-claim basis to identify questionable patterns and to assess potential fraud.  Matt has successfully litigated large scale affirmative actions with fraud, RICO, and declaratory judgment claims, which recouped millions of dollars for his clients.
Read More
Kristine M. Meindl is a partner with Goldberg, Miller & Rubin, P.C. and has over 13 years of extensive experience as a trial attorney. Mrs. Meindl focuses her practice on all aspects of Pennsylvania and New Jersey civil defense litigation. During her time at GMR, she has accumulated a tremendous amount of trial experience resulting in over 50 cases tried to verdict.
Read More
Warren Holland has litigated cases in several state and federal jurisdictions, including Pennsylvania, New York, and New Jersey with over 50 defense verdicts at trial.
Read More
Dana M. Koos is partner with Goldberg, Miller & Rubin, managing their New York City office since 2013. Ms. Koos oversees the daily operations of all New York litigation for the firm and counsels associates in the defense of automotive negligence and other personal injury matters.
Read More
Virginia King’s unparalleled dedication to the needs of her clients sets her apart from other defense attorneys.  She understands each client is unique and deserves to be a top priority.  Her outstanding understanding of the intricacies of the defense of a case, from detailed initial investigation all the way through resolution of claims, has earned her recognition as a Super Lawyer “Rising Star”, one of Pennsylvania’s top 2.5% of young attorneys, for 3 consecutive years. 
Read More
Mr. Cogbill brings non-traditional perspectives to his practice with degrees in biochemistry and economics, and experience living abroad in France and Senegal where he worked in international development and taught in multiple languages.
Read More
Joel Feigenbaum is recognized for zealous representation of his clients and resourceful approach in achieving their goals.  Much of Joel’s practice focuses on investigating and assisting in the prosecution of insurance fraud and civil RICO claims on behalf of insurance carriers for false and exaggerated medical claims in state and federal courts.  He has counseled insurance companies in fraud investigations and litigated complex insurance fraud cases involving various medical disciplines, including acupuncture, chiropractic, physical therapy, orthopedics, pain management, psychology and radiology.  In addition, Joel regularly conducts examinations under oath (“EUO”) on behalf of insurers in automobile and property damage claims arising under suspicious or even fraudulent circumstances, including staged/cause losses and other SIU-related issues. 
Read More
Matt assists with insurance and healthcare fraud claims as well as affirmative action or RICO based litigation related to fraud.
Read More
Samantha Pullman is an associate in Goldberg, Miller & Rubin’s New York office. She concentrates her practice on defending automotive negligence and other personal injury claims and also assists with insurance and healthcare fraud claims. Samantha is known as a zealous advocate and concentrates on all phases of litigation, both inside and outside of the courtroom.
Read More
As an associate at Goldberg, Miller & Rubin, Alexandra concentrates her practice on advising insurance carriers who are investigating potential insurance fraud committed by healthcare providers. Alexandra focuses on thorough preparation for all stages of litigation to provide zealous and enthusiastic advocacy to clients.
Read More
Robert Bogle is an associate in Goldberg, Miller & Rubin’s New York office concentrating his practice on automotive negligence and no-fault claims, including claims that were referred by the special investigative units of insurance carriers.
Read More
Thomas Holmgren is an associate in Goldberg, Miller & Rubin’s New York office concentrating his practice on defending automotive negligence and personal injury and handling no-fault claims, including claims that were referred by the special investigative units of insurance carriers.   
Read More