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Lawyer Pleads Guilty to Involvement in Massive No-Fault Automobile Insurance Fraud Scheme
Ten Defendants Have Now Pled Guilty
Manhattan U.S. Attorney
According to the superseding information, other publicly filed information in the case, and the defendants' statements in open court:
In order to mislead
The No-Fault clinic controllers also instructed the clinic doctors to prescribe excessive and unwarranted referrals for various "modality treatments" for nearly every patient they saw. The treatments included physical therapy, acupuncture, and chiropractic treatments--as much as five times per week for each--and treatments for psychology, neurology, orthopedics, and range of motion, in addition to functional capacity tests. Clinic doctors also prescribed unnecessary MRI's, X-rays, orthopedics, and medical supplies. The No-Fault clinic controllers received thousands of dollars in kickbacks for patient referrals from the owners of the modality clinics ("modality controllers"). Mikhalov was a modality controller who admitted to owning modality clinics that purported to be owned by licensed doctors, as required by New York Law. Greenshner was a chiropractor who provided unnecessary medical treatments at one of the modality clinics.
Patients were also referred to personal injury lawyers to file lawsuits against the insurance companies arising out of their exaggerated injuries from automobile accidents. The success of these lawsuits hinged on how many medical treatments the patients received, providing the necessary incentive for the patients to receive multiple treatments at the no-fault and modality clinics. Naimark admitted to paying a No-Fault clinic controller to refer him patients that received unnecessary treatments so that he could file personal injury lawsuits on behalf of the patients. The second charge to which Naimark pled guilty relates to payments he made to a runner to bring him no-fault patients so that he could file personal injury lawsuits on their behalf.
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Naimark, 54, of
The case is being prosecuted by the Office's Organized Crime Unit. Assistant U.S. Attorneys Daniel S. Goldman,
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