About Ross O. Silverman

Ross Silverman represents some of the nation's top insurance companies in reducing their exposure to, and recovering money paid- as a result of, fraudulent insurance claims, with a particular focus on health care fraud. He is one of more than a dozen former federal prosecutors in the firm's white-collar defense practice and leads Katten's insurance and health care fraud litigation group.

Experienced in RICO and health care fraud

For the past 25 years, Ross has successfully litigated RICO, fraud and qui tam actions involving insurance claims, with a particular focus on health care fraud in jurisdictions across the country. He also counsels insurers on claims-handling best practices and litigation strategies designed to reduce their exposure to fraud.

Ross was appointed by the US Bankruptcy Court for the Northern District of Illinois to serve as the examiner for two bankruptcy matters, one involving United Airlines and the other involving an international distributor of ionized bracelets.

Before joining the firm, he was a trial attorney for the criminal section of the tax division at the US Department of Justice and served as an assistant US attorney in Chicago.

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Practice Focus

  • Insurance and health care fraud litigation
  • White-collar investigations and compliance

Representative Experience

  • Represent property and casualty insurer in fraud action in Maryland against clinics, chiropractors, physicians and others. Alleges services were medically unnecessary or not performed.
  • Represent property and casualty insurer in fraud and RICO action in New York against compounding pharmacy, its owners and prescribing physician for medically unnecessary topical compound creams prescribed pursuant to illegal kickbacks.
  • Represent property and casualty insurer in qui tam action under the California Insurance Frauds Prevention Act against chiropractors and imaging providers. Alleges false claims for x-rays and MRIs performed pursuant to unlawful kickbacks.
  • Represent property and casualty insurer in fraud and RICO action in New York against compounding pharmacy, its owners, prescribing physicians and a series of shell companies for medically unnecessary topical compound creams prescribed pursuant to unlawful kickbacks.
  • Represent property and casualty insurer in qui tam action under the California Insurance Frauds Prevention Act against imaging provider, officers and owners involving billing for services not rendered.
  • Represent property and casualty insurer in qui tam action under the Illinois Insurance Claims Frauds Prevention Act against physicians, chiropractors, clinics, surgery centers and owners. Alleges medically unnecessary pain management injections and electrodiagnostic testing.
  • Represent property and casualty insurer in fraud action in US District Court for the Eastern District of Pennsylvania against chiropractors and clinics. Alleges services were medically unnecessary or not performed.
  • Represent property and casualty insurer in qui tam action under the California Insurance Frauds Prevention Act against physician, surgery center and biller. Involves pain management injections and evaluation and management services that were medically unnecessary or not performed, and the use of unbundling and upcoding of billing codes to inflate charges.
  • Represent health insurer in fraud action in Florida alleging ambulatory surgery centers and others fraudulently billed professional and facility fees for manipulations under anesthesia because centers were engaged in patient brokering, kickbacks for patient referrals and the use of improper billing codes.
  • Represent health insurer in arbitration, alleging a New Jersey ambulatory surgery center and others fraudulently billed professional and facility fees for manipulations under anesthesia because the center was not exempt from state licensure requirements and was paying unlawful kickbacks for patient referrals.
  • Represent property and casualty insurer in RICO and fraud action in Oregon against chiropractors, acupuncturist, clinics and others. Alleges services were medically unnecessary or not performed.
  • Represent property and casualty insurer in RICO and fraud action in Michigan against a physician and professional corporations. Alleges billing for electrodiagnostic tests that were medically unnecessary or not performed.
  • Represent property and casualty insurer in RICO and fraud action in Michigan against physician and professional corporation. Alleges medically unnecessary pain management injections and upcoding and unbundling of billing codes to inflate charges.
  • Represent property and casualty insurer in fraud action in Florida against clinics and referral service. Alleges clinics violated self-referral, kickback and patient brokering laws.
  • Represent property and casualty insurer in RICO and fraud action in Florida against physicians, ambulatory surgery center and others. Alleges the physicians billed for medically unnecessary discography and percutaneous disc decompression procedures, and used false billing codes to inflate the charges for their services.
  • Represent property and casualty insurer in fraud and RICO action in New York against compounding pharmacy, its owners and prescribing physician for medically unnecessary topical compound creams prescribed pursuant to unlawful kickbacks.
  • Represent worker's compensation insurer in RICO and fraud action in Texas against physician and compounding pharmacy. Alleges billing for medically unnecessary pain management injections and topical compounds pursuant to unlawful kickbacks.
  • Represent property and casualty insurer in qui tam action under the California Insurance Frauds Prevention Act against physician and related entity. Alleges billing for evaluation and management services that were either not performed or not medically necessary, and upcoding of the billing codes to inflate charges. 
  • Represent health insurer in fraud and RICO action in Texas. Alleges layperson-owned entities in Texas fraudulently billed for facility fees, entered into unlawful kickback arrangements for patient referrals and used false billing codes.
  • Represent property and casualty insurer in fraud action in Minnesota against chiropractor and his clinics. Alleges unlawful kickbacks and services that either were not performed or not medically necessary.

Publications

  • Inside the Minds: Strategies for Criminal Tax Cases
    2011

Presentations and Events

  • Insurance Coverage and Claims Conference, DRI
    Detecting and Defeating Organized Fraud Rings
    April 1, 2013