Justin M. Vogel
Partner/Director
516-393-2570
RICO Defense
- Overview
- Attorneys
- Insights
Garfunkel Wild’s RICO Defense Group brings years of experience and extensive knowledge of Racketeer Influenced and Corrupt Organizations Act (RICO) statutes and decisions used by Insurers and other entities to bring RICO claims against medical providers, durable medical equipment companies, and pharmacies.
Our RICO Defense team is comprised of seasoned litigators who have handled RICO cases, from both the plaintiff and defense side, from the investigation phase through resolution. Our team vigorously represents our clients in all stages of RICO litigation, from requests for verification, including examinations under oath, through trial and appeals due to our litigators’ expertise and full access to Garfunkel Wild’s deep bench of attorneys who specialize in all areas of health care.
Victory in litigation is satisfying but may not be the most cost-efficient and practical goal. We advise our clients to help them position themselves to achieve the best results through strategy and counseling in the areas of practice management, procedure, and office set up to minimize the risk of being named in a RICO case and to aid the defense of such cases. We also assist our clients in settling disputes through negotiation and mediation.
Our RICO Defense Group represents:
- Ambulatory Surgery Centers;
- Physicians and Physician Group Practices;
- Durable Medical Equipment Companies;
- Pharmacies; and
- Many other entities in the health care industry.
We understand the needs and perspectives of our clients and stand ready to assist our clients through a team-centered approach.
Practice Group Contacts
Team
New Jersey Mandates Electronic Employee Separation Reporting
Every employee separation in New Jersey, from resignations to layoffs, must now be reported electronically through the Department of Labor’s Employer Access Portal. This means employers must proactively report separations, including terminations, resignations, layoffs, retirements, and other forms of job separation – regardless of whether the employee files for unemployment benefits.
Court Dismisses Roosevelt Road RICO Suit
On February 18, 2026, the U.S. District Court for the Eastern District of New York dismissed a civil RICO action brought by Roosevelt Road Re, Ltd. and Tradesman Program Managers, LLC, against a personal injury law firm and various medical providers arising out of workers’ compensation claims after considering a motion by Garfunkel Wild and other law firms on behalf of our clients and the other defendants.
Can Insurers Deny Payment for Providers Based on Kickback Allegations?
Last week, the New York State Court of Appeals addressed this issue of whether an insurer can deny paying no-fault benefits to a provider if they claim the provider violated licensing requirements by paying for patient referrals in Government Employees Insurance Company (GEICO) v. Igor Mayzenberg.
Garfunkel Wild’s RICO Defense Group brings years of experience and extensive knowledge of Racketeer Influenced and Corrupt Organizations Act (RICO) statutes and decisions used by Insurers and other entities to bring RICO claims against medical providers, durable medical equipment companies, and pharmacies.
Our RICO Defense team is comprised of seasoned litigators who have handled RICO cases, from both the plaintiff and defense side, from the investigation phase through resolution. Our team vigorously represents our clients in all stages of RICO litigation, from requests for verification, including examinations under oath, through trial and appeals due to our litigators’ expertise and full access to Garfunkel Wild’s deep bench of attorneys who specialize in all areas of health care.
Victory in litigation is satisfying but may not be the most cost-efficient and practical goal. We advise our clients to help them position themselves to achieve the best results through strategy and counseling in the areas of practice management, procedure, and office set up to minimize the risk of being named in a RICO case and to aid the defense of such cases. We also assist our clients in settling disputes through negotiation and mediation.
Our RICO Defense Group represents:
- Ambulatory Surgery Centers;
- Physicians and Physician Group Practices;
- Durable Medical Equipment Companies;
- Pharmacies; and
- Many other entities in the health care industry.
We understand the needs and perspectives of our clients and stand ready to assist our clients through a team-centered approach.
Practice Group Contacts
Team
New Jersey Mandates Electronic Employee Separation Reporting
Every employee separation in New Jersey, from resignations to layoffs, must now be reported electronically through the Department of Labor’s Employer Access Portal. This means employers must proactively report separations, including terminations, resignations, layoffs, retirements, and other forms of job separation – regardless of whether the employee files for unemployment benefits.
Court Dismisses Roosevelt Road RICO Suit
On February 18, 2026, the U.S. District Court for the Eastern District of New York dismissed a civil RICO action brought by Roosevelt Road Re, Ltd. and Tradesman Program Managers, LLC, against a personal injury law firm and various medical providers arising out of workers’ compensation claims after considering a motion by Garfunkel Wild and other law firms on behalf of our clients and the other defendants.
Can Insurers Deny Payment for Providers Based on Kickback Allegations?
Last week, the New York State Court of Appeals addressed this issue of whether an insurer can deny paying no-fault benefits to a provider if they claim the provider violated licensing requirements by paying for patient referrals in Government Employees Insurance Company (GEICO) v. Igor Mayzenberg.
