Doctor fights more insurance fraud claims at New Jersey hospitals

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An auto insurance company has filed a suit against a New Jersey hospital co-owner that alleged illegal patient referrals.

Selective Insurance Co. of America filed the suit, which alleged Richard Lipsky, co-owner of Meadowlands Hospital in Secaucus and Woodcliff Lake anesthesiologist, submitted false claims for personal injury protection insurance payments for 24 people insured with Selective. The people were treated at practices, including Essex Pain Management Group and Highland Medical Group in Hackensack, and then referred to either the Essex Surgery Center in Hackensack or the Roseland Ambulatory Surgery Center in Roseland, according to the suit.

Selective alleged Lipsky’s companies violated Codey Law, which prohibits doctors or their family members from referring patients to a practice in which they hold a financial interest. The suit alleged a pattern of violating the New Jersey Fraud Prevention Act.

The suit is filed as an amended complaint to a 2006 case in which Selective lost.

Lipsky and Tamara Dunaev are the principal owners of the private investment group, MHA, LLC, which purchased Meadowlands Hospital Medical Center at the end of 2010 for $15 million.

They also operate four ambulatory surgery centers, including Essex Surgery Center, and others in Saddle Brook and Paramus. The hospital has also had a financial relationship with Roseland Ambulatory Surgery Center, including the hospital’s purchase from Roseland of $603,316 worth of equipment and supplies, according to reports.

 

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