Healthcare providers operating in New York face unique regulatory and legal exposure that goes beyond what most businesses encounter. Workers’ compensation fraud claims targeting healthcare entities can put a facility at risk of significant financial liability, reputational harm, and operational disruption — particularly when those claims are pursued aggressively and coordinated across multiple claimants or proceedings. Defending against these claims requires counsel who understands both the workers’ compensation system’s specific procedural rules and the substantive defenses available to healthcare employers facing fraud allegations.
Mandelbaum Barrett PC’s healthcare law practice team successfully defeated New York workers’ compensation fraud claims brought against a healthcare client. The firm’s health care law practice group advises healthcare organizations, providers, and businesses on regulatory compliance, litigation defense, employment matters, and related legal challenges in New York and New Jersey. This victory reflects the team’s ability to defend healthcare clients against complex fraud-based claims in the New York workers’ compensation system.
Workers’ Compensation Fraud Claims Against Healthcare Employers
Workers’ compensation fraud claims against healthcare employers can take a number of forms. In some cases, employees make fraudulent claims for injuries that did not occur or were not work-related. In others, claims are exaggerated or prolonged beyond what the underlying injury warrants. And in some situations, claims may be part of a coordinated scheme involving multiple claimants, medical providers, or intermediaries. Identifying the nature of the fraud and developing the appropriate response strategy requires counsel with experience in both workers’ compensation defense and healthcare law.
The New York workers’ compensation system has its own administrative structure, procedural rules, and evidentiary standards that differ significantly from civil litigation practice. Healthcare employers defending fraud claims must navigate hearings before Workers’ Compensation Law Judges, manage interactions with the Workers’ Compensation Board, and coordinate with insurance carriers while protecting the organization’s broader interests. Effective defense requires counsel who can coordinate all of these threads and present a coherent, well-supported defense strategy throughout the administrative process.
According to the New York Workers’ Compensation Board, workers’ compensation fraud is taken seriously by the state, and employers as well as claimants can be subject to investigation and penalties when fraud is identified. Healthcare employers who are the target of fraudulent claims should work with experienced counsel to identify and document the fraud and pursue all available legal remedies.
Contact Mandelbaum Barrett PC for Healthcare Law Guidance
If your healthcare organization is facing workers’ compensation fraud claims or related litigation in New York or New Jersey, the healthcare law practice team at Mandelbaum Barrett PC can help.
Reach out through our contact page to speak with our team. We are here to defend healthcare employers against complex claims in the New York workers’ compensation system.
These stories are successful case results from our attorneys. Please note that results may vary depending on your particular facts and legal circumstances.