Healthcare billing fraud: 12 recent cases

From a physician couple pleading to their roles in a scheme to a former Georgia insurance commissioner pleading guilty to his role in a $2.5 million scheme, here are 12 healthcare billing fraud cases Becker's has reported since March 14: 

1. A Peoria, Ariz., physician pleaded guilty to a healthcare fraud scheme that caused payers at least $3.7 million in losses. 

2. A physician couple from Hollidaysburg, Pa., pleaded guilty for their roles in a fraud scheme. 

3. A durable medical equipment company owner was sentenced to three and a half years in prison for his role in an $87 million healthcare fraud scheme. 

4. A Pompano Beach, Fla., man the Justice Department said was the figurehead owner of a lab company pleaded guilty to his role in a $30 million Medicare fraud scheme. 

5. A Houston physician and his diagnostic centers agreed to pay $1.8 million to settle False Claims Act allegations. 

6. A Fort Lauderdale, Fla.-based pharmacy owner pleaded guilty to his role in a $36.2 million Medicare fraud scheme. 

7. A former Georgia insurance commissioner pleaded guilty to participating in a healthcare fraud scheme that billed private insurers for over $2.5 million in false claims. 

8. The owner of a New Jersey counseling center pleaded guilty to billing private insurers for services she never provided. 

9. A South Carolina man who owned at least 10 durable medical equipment companies was sentenced to nine years in prison for what the Justice Department called "one of the largest Medicare fraud schemes in history."

10. A Tennessee podiatrist was convicted of defrauding Medicare and the state's Medicaid program by prescribing and dispensing medically unnecessary foot bath medications.

11. Former NBA shooting guard Antoine Wright was sentenced to time served for his role in a scheme to defraud the league's healthcare plan out of $5 million. 

12. The Justice Department is suing six health plans participating in the Uniformed Services Family Health Plan program for allegedly concealing overpayments for services provided to retired military members and their families. 

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

 

Featured Whitepapers

Featured Webinars