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1. Mississippi man pleads guilty to $12M Medicare fraud scheme
The owner of a durable medical equipment company pleaded guilty to his role in a scheme to defraud Medicare and Medicare Advantage of more than $12.4 million. Reginald Fullwood Jr., 59, of Madison, ...30 August 2024 -
2. California physician sentenced to prison for $2.8M fraud scheme
A California physician was sentenced to 37 months in prison for his role in a $2.8 million Medicare fraud scheme. John Thropay, MD, 75, of Arcadia, was the medical director of multiple hospice companies, ...28 August 2024 -
3. Ex-Iowa hospital CEO admits embezzling $3.2M from former California employer
The former CEO of Virginia Gay Hospital, a privately operated, nonprofit rural hospital in Vinton, Iowa, pleaded guilty Aug. 20 to one count of wire fraud for embezzling more than $3.2 million from his ...23 August 2024 -
4. Feds arrest alleged hospital hacker
... to commit money laundering, wire fraud and Hobbs Act extortion, the Justice Department said Aug. 20. He is alleged to have been a ransom negotiator with the Karakurt cybercriminal gang. In 2023, the ...23 August 2024 -
5. Radiology group to pay $8.8M in fraud case
Houston-based National Interventional Radiology Partners and its radiologist CEO have agreed to pay $8.8 million to resolve allegations of kickbacks and False Claims Act violations, according to an Aug. ...23 August 2024 -
6. Marketer pleads guilty to role in $7.8M fraud scheme
A Connecticut man pleaded guilty to his role in a $7.8 million durable medical equipment fraud and kickback scheme. Jesse Foote, 58, of Fairfield, Conn., conspired with overseas telemarketing call ...22 August 2024 -
7. Medical practice settles billing fraud allegations
The owners of a Newburgh, N.Y.-based medical practice agreed to pay $600,000 to settle allegations that they fraudulently billed for services rendered by nurse practitioners and physician assistants not ...20 August 2024 -
8. 12 recent healthcare industry lawsuits, settlements
From Steward Health Care filing a lawsuit against its landlord, to Humana settling drug fraud allegations, here are 12 recent healthcare industry lawsuits, settlements and developments that Becker's has ...20 August 2024 -
9. Humana settles Medicare fraud case for $90M + more
Tune in for today's industry updates. ...19 August 2024 -
10. Harris-Walz ticket and healthcare consolidation: What to know
... as California's attorney general, Ms. Harris strongly opposed healthcare consolidation and prosecuted numerous industry players for alleged fraud or antitrust violations, according to The New York Times. ...16 August 2024 -
11. Medicaid biller charged in $1.2M fraud scheme
A former Medicaid biller for a Denver-based durable medical equipment company is accused of submitting $1.2 million in false claims to the state of Colorado. Natasha Sawyer, 44, of Denver, is accused ...16 August 2024 -
12. Medical equipment company owner pleads guilty to role in $39.5M fraud scheme
A Florida man pleaded guilty to his role in a scheme to defraud Medicare of $39.5 million. Christopher Spellman, 22, of Port Richey, and his co-conspirators owned and operated a durable medical equipment ...16 August 2024 -
13. Healthcare billing fraud: 10 recent cases
Here are 10 healthcare billing fraud cases Becker's has reported since July 23: 1. An Ohio physician was sentenced to two years in prison for his role in a scheme that defrauded Medicare and Tricare ...14 August 2024 -
14. Physician sentenced for role in $14.6M fraud scheme
An Ohio physician was sentenced to two years in prison for his role in a scheme that defrauded Medicare and Tricare out of more than $14.6 million. Thomas Webster, MD, 51, of Sylvania, Ohio, was also ...12 August 2024 -
15. Washington supply company owner settles fraud case
... the provider while physicians received kickbacks in exchange for ordering the products. Medicare paid more than $112,000 for these claims. To resolve allegations of healthcare fraud, Mr. Leland agreed ...08 August 2024 -
16. Where health systems are going wrong with Medicare Advantage
... have faced allegations of billing fraud from the federal government and are being probed by lawmakers over their high denial rates. "It's become a game of delay, deny and not pay,'' Chris Van Gorder, president ...07 August 2024 -
17. DOJ will offer rewards to whistleblowers exposing healthcare fraud
The Justice Department is starting a pilot program to reward whistleblowers who expose healthcare fraud schemes involving private insurance plans. According to an Aug. 1 fact sheet from the Justice ...01 August 2024 -
18. North Korean hacker accused of hospital ransomware attacks
A man reportedly affiliated with North Korean military intelligence has been allegedly participating in a scheme to hack into U.S. healthcare systems. Rim Jong Hyok is allegedly a part of a hacker ...25 July 2024 -
19. California physician pleads guilty to $3.2M fraud scheme
A physician who worked for two Pasadena, Calif., hospices pleaded guilty to his role in a fraud scheme that defrauded Medicare out of more than $3 million. Victor Contreras, MD, 68, of Santa Paula, ...25 July 2024 -
20. Physician convicted in $5.4M fraud scheme
A Louisiana physician was convicted for conspiring to illegally distribute more than 1.8 million opioids and defrauding healthcare benefit programs of more than $5.4 million. Adrian Talbot, MD, 58, ...24 July 2024