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Thursday, March 1, 2012

Three Lawyers Charged in $279 Million Insurance Scam

Three Lawyers Are Charged in Major Insurance Scheme
The New York Law Journal by Mark Hamblett  -  March 1, 2012

Three New York attorneys were among 36 people charged on Feb. 29 in a massive scheme to defraud insurers of more than $279 million through abuse of the state's no-fault auto insurance law. Southern District U.S. Attorney Preet Bharara announced a racketeering indictment that swept up eight members and associates of a criminal group he called the "No-Fault Organization." The group owned and controlled fraudulent medical clinics where patients, recruited by "runners," received therapies, tests and medical equipment they did not need. Also charged were 10 doctors who Mr. Bharara said "essentially peddle their medical licenses like a corner fraudster might sell fakes IDs." The 36 suspects were arrested as part of a joint investigation with the FBI and the New York Police Department that included officers posing as patients at the phony clinics.  The attorneys are Matthew J. Conroy, 42, of Melville, a partner at the four-lawyer Matthew J. Conroy & Associates in Garden City; Maria Diglio, 47, of Garden City, an associate at the Conroy firm; and Sol Naimark, 53, of Flushing, a partner at Naimark & Tannenbaum in Bayside. Mr. Conroy, charged in the indictment with racketeering conspiracy, conspiracy to commit health care fraud, conspiracy to commit mail fraud and conspiracy to commit money laundering, is accused of being part of the No-Fault Organization, serving as a consultant and advisor on the criminal activity of alleged ringleaders Mikhail Zemlyansky, 35, of Hewlett, Michael Danilovich, 38, of Brooklyn, and Yuriy Zayonts, 40, and Mikhail Kremerman, 41, both of Staten Island. The indictment also states that Mr. Conroy participated in laundering the organization's proceeds. Ms. Diglio and Mr. Naimark were charged in the health fraud and mail fraud conspiracies.

-----FBI PRESS RELEASE:
Manhattan U.S. Attorney Announces Charges Against 36 Individuals for Allegedly Participating in $279 Million Health Care Fraud Scheme
The Federal Bureau of Investigation (FBI) on February 29, 2012 released the following:

“Preet Bharara, the United States Attorney for the Southern District of New York; Janice K. Fedarcyk, the Assistant Director in Charge of the New York Office of the Federal Bureau of Investigation (“FBI”); and Raymond W. Kelly, the Police Commissioner of the City of New York (“NYPD”), announced today the unsealing of charges against 36 defendants involved in a systematic scheme to defraud private insurance companies of more than $279 million under New York’s no-fault automobile insurance law. The indictment includes racketeering charges against eight members and associates of a criminal organization consisting primarily of individuals of Russian descent who were the owners and controllers of fraudulent medical clinics (the “No Fault Organization”), as well as 10 licensed doctors and three attorneys. The alleged scheme identified today is the largest single no-fault automobile insurance fraud ever charged, and the first case of its kind to allege violations of the Racketeer Influenced and Corrupt Organizations (“RICO”) Act.
All of the defendants were arrested this morning in connection with today’s charges. Thirty-five were taken into custody in New York and New Jersey and will be presented and arraigned in Manhattan federal court before U.S. Magistrate Judge Theodore H. Katz later this afternoon. One defendant was arrested in Duluth, Minnesota and will be presented tomorrow in federal court in the District of Minnesota. Manhattan U.S. Attorney Preet Bharara said: “Today’s charges expose a colossal criminal trifecta, as the fraud’s tentacles simultaneously reached into the medical system, the legal system, and the insurance system, pulling out cash to fund the defendants’ lavish lifestyles. As alleged, the scheme relied on a cadre of corrupt doctors who essentially peddled their medical licenses like a corner fraudster might sell fake IDs, except those medical licenses allowed unlawful entry, not to a club or a bar, but to a multi-billion-dollar pool of insurance proceeds.”  FBI Assistant Director in Charge Janice K. Fedarcyk said: “Our investigation uncovered a pattern of lucrative fraud exploiting New York’s no-fault auto insurance system to the tune of more than a quarter-of-a-billion dollars. The criminal enterprise, while it lasted, was obscenely profitable. The scheme not only unjustly enriched the defendants and defrauded insurance companies. Auto insurance fraud is also a crime that indirectly victimizes every driver in New York.” NYPD Commissioner Raymond W. Kelly said: “Our undercover officers were treated like thousands of other ‘patients’ receiving therapy, tests, and medical equipment they didn’t need. I want to congratulate the U.S. Attorney’s Office and the agents and detectives assigned to the joint FBI-NYPD Organized Crime Task Force for bringing this investigation to a successful conclusion.”  The following allegations are based on the unsealed indictment and other documents filed today in Manhattan federal court:

Under New York state law, every vehicle registered in the state is required to have no-fault automobile insurance, which enables the driver and passengers of a registered and insured vehicle to obtain benefits of up to $50,000 per person for injuries sustained in an automobile accident, regardless of fault (the “No-Fault Law”). The No-Fault Law requires prompt payment for medical treatment, thereby obviating the need for claimants to file personal injury lawsuits in order to be reimbursed. Under the No-Fault Law, patients can assign their right to reimbursement from an insurance company to others, including medical clinics that provide treatment for their injuries. New York state law also requires that all medical clinics in the state be incorporated, owned, operated, and/or controlled by a licensed medical practitioner in order to be eligible for reimbursement under the No-Fault Law. Insurance companies will not honor claims for medical treatments from a medical clinic that is not actually owned, operated, and/or controlled by a licensed medical practitioner.  From at least 2007 through 2012, the No-Fault Organization has engaged in a massive and sophisticated scheme to defraud automobile insurance companies of hundreds of millions of dollars by, among other things, creating and operating medical clinics that provided unnecessary and excessive medical treatments in order to take advantage of the No-Fault Law. In order to mislead New York authorities and private insurers, the true owners of these medical clinics (“Clinic Controllers”), almost all of whom were also members and associates of a criminal organization consisting primarily of individuals of Russian descent, paid licensed medical practitioners, including doctors, to use their licenses to incorporate the professional corporations, through which the medical clinics billed the private insurers for the bogus medical treatments. These doctors effectively operated as “straw owners” of the clinics.

The Clinic Controllers paid thousands of dollars in kickbacks to runners who recruited automobile accident passengers to receive medically unnecessary treatments from the no-fault clinics. They also instructed the clinic doctors/straw owners to prescribe excessive and unwarranted referrals for various “modality treatments” for every patient they saw. The treatments included physical therapy, acupuncture, and chiropractic treatments—as many as five times per week for each—and treatments for psychology, neurology, orthopedics, and audiology. Clinic doctors also prescribed unnecessary MRI’s, x-rays, orthopedics, and medical supplies. The Clinic Controllers received thousands of dollars in kickbacks for patient referrals from the owners of the modality clinics (“Modality Controllers”), who were members and associates of the same criminal organization to which the members of the No-Fault Organization and Clinic Controllers belonged. The Clinic Controllers also referred patients to personal injury lawyers who filed bogus lawsuits on behalf of the patients and coached them on what injuries to claim in order to get as many treatments as possible. The personal injury lawyers also paid the Clinic Controllers thousands of dollars in kickbacks for these referrals. In order to conceal and disguise the millions of dollars in claims paid by the automobile insurance companies, the members of the No-Fault Organization laundered the money through shell companies and corrupt check-cashing services. Often, checks would be written from the No-Fault or Modality Clinics with the payee line left blank, and in amounts less than $10,000 in order to avoid potential financial institution reporting requirements and other scrutiny. The checks were then cashed through check-cashers who made the checks payable to shell companies they controlled in order to conceal the true nature and purpose of the checks. The cash was then returned to members of the No-Fault Organization to fund kickbacks and for their personal use. At other times, the members and associates of the No-Fault Organization paid themselves through their own shell companies and then used the criminal proceeds to fund expensive vacations and to purchase luxury goods.
***
A chart identifying each defendant, the charges, and the maximum penalties, is below. The case is assigned to U.S. District Judge J. Paul Oetken. U.S. Attorney Preet Bharara thanked the FBI and the NYPD for their work in the 18-month investigation, which he noted is ongoing. Mr. Bharara also thanked the National Insurance Crime Bureau and the investigative units of the insurance companies that provided invaluable assistance with the investigation, as well as the Manhattan District Attorney’s Office. The case is being prosecuted by the office’s Organized Crime Unit. Assistant U.S. Attorneys Daniel S. Goldman, Nicholas L. McQuaid and Carolina Fornos are in charge of the prosecution. Assistant U.S. Attorney Jason L. Cowley of the office’s Asset Forfeiture Unit is responsible for the forfeiture of assets. The charges contained in the indictment are merely accusations, and the defendants are presumed innocent unless and until proven guilty.
CountChargeMaximum Penalty
Count oneRICO conspiracy (mail fraud and money laundering)20 years
Count twoConspiracy to commit health care fraud10 years
Count threeConspiracy to commit mail fraud20 years
Count fourConspiracy to commit money laundering20 years
DefendantAge/ResidenceAlleged Role in the SchemeChargesMaximum Penalty
Mikhail Zemlyansky35/Hewlett, NYClinic/modality controllerCounts one, two, three, four70 years
Michael Danilovich38/Brooklyn, NYClinic/modality controllerCounts one, two, three, four70 years
Yuriy Zayonts40/Staten Island, NYClinic/modality controllerCounts one, two, three, four70 years
Mikhail Kremerman41/Staten Island, NYClinic/modality controllerCounts one, two, three, four70 years
Matthew Conroy42/Melville, NYAttorneyCounts one, two, three, four70 years
Michael Barukhin32/Brooklyn, NYClinic/modality controllerCounts one, two, three, four70 years
Mikhail Ostrumsky42/Brooklyn/NYClinic controllerCounts one, two, three, four70 years
Boris Treysler42/Brooklyn/NYClinic controllerCounts one, two, three, four70 years
Andrey Anikeyev37/Fort Lee, NJModality controllerCounts two, three, four50 years
Vladimir Grinberg35/Staten Island, NYModality controllerCounts two, three, four50 years
Vladislav Zaretskiy40/Staten Island, NYClinic/modality controllerCounts two, three, four50 years
Yevgeniy Shuman33/Brooklyn, NYClinic managerCounts two, three, four50 years
Dmitry Slobodyansky41/Brooklyn, NYModality controllerCounts two, three, four50 years
Alexander Sandler57/East Brunswick, NJClinic controllerCounts two, three30 years
Gregory Mikhalov56/Brooklyn, NYModality controllerCounts two, three30 years
Michael Morgan33/Port Washington, NYModality controllerCounts two, three30 years
Mark Danilovich60/Brooklyn, NYModality controllerCounts two, three30 years
Jeffrey Lereah56/Suffern, NYModality managerCounts two, three30 years
Dmitry Lipis44/Brooklyn, NYClinic managerCounts two, three30 years
Lynda Tadder34/Brooklyn, NYClinic managerCounts two, three30 years
Maria Diglio47/Garden City, NYAttorneyCounts two, three30 years
Sol Naimark53/Flushing, NYAttorneyCounts two, three30 years
Sergey Gabinsky54/Brooklyn, NYDoctorCounts two, three30 years
Tatyana Gabinskaya57/Brooklyn, NYDoctorCounts two, three30 years
Joseph Vitoulis42/Valley Stream, NYDoctorCounts two, three30 years
Lauretta Grzegorczyk64/Staten Island, NYDoctorCounts two, three30 years
Eva Gateva48/Bronx, NYDoctorCounts two, three30 years
Zuheir Said64/Bronx, NYDoctorCounts two, three30 years
David Thomas42/Hopewell Junction/NYDoctorCounts two, three30 years
Billy Geris53/Morganville, NJDoctorCounts two, three30 years
Mark Shapiro46/Brooklyn, NYDoctorCounts two, three30 years
Robert Della Badia72/South Salem, NYDoctorCounts two, three30 years
Michelle Glick33/Duluth, MNAcupuncture practitionerCounts two, three30 years
Pavel Poznansky52/Brooklyn, NYAcupuncture practitionerCounts two, three30 years
Chad Greenshner45/Flushing, NYChiropractic practitionerCounts two, three30 years
Constantine Voytenko40/Brooklyn, NYChiropractic practitionerCounts two, three30 years

3 comments:

in the know said...

When are these lawyers going to learn that if you don't spread the money around to the right people it will come back to haunt you. That's how a good corrupt system works.

Anonymous said...

We must have compassion for the lawyers as will the judge and the bar. In NY, our lawyers are a gift from some god, or the devil, and as such need preferential handling.

Anonymous said...

this the tip of theiceberg, the national budget could be balanced on this money from all over the country

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               Video of 1st Hearing on Court 'Ethics' Corruption
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