Healthcare billing fraud: 10 recent cases

From a New York City physician indicted in an alleged $20.7 million scheme to a call center owner indicted in a $97 million scheme, here are 10 healthcare billing fraud cases that Becker's has reported on since Feb. 16:

1. A Florida man and woman were each sentenced to 27 months in prison for their roles in a scheme that submitted $125 million in fraudulent claims to Medicare and Tricare.

2. The former CEO and president of a compounding pharmacy in Florida was sentenced to six months in prison for lying to federal agents during a healthcare fraud scheme investigation.

3. A physician pleaded guilty to accepting kickbacks in a fraudulent telemarketing and medical supply scheme. 

4. An Ohio man who owned four pharmacies was convicted for dispensing a gastroenterology generic drug without prescriptions and overcharging Medicaid.

5. A marketing company owner from California was charged for his alleged role in a fraud and kickback scheme that cost Medicare more than $10 million.

6. A call center owner was indicted on 10 charges for his alleged role in a durable medical equipment kickback scheme that caused Medicare to lose $97 million.

7. A New Jersey federal grand jury issued an updated indictment against a New York City physician for his alleged involvement in a number of Medicare and Medicaid fraud schemes that totaled more than $20.7 million in false claims. 

8. A Lexington, Ky.-based lab agreed to pay nearly $10.5 million to settle allegations it billed Medicare and Medicaid for medically unnecessary urine drug testing.

9. The medical director of several hospice companies was convicted for his role in a $2.8 million Medicare fraud scheme. 

10. The owner of two telemedicine companies was charged and agreed to plead guilty in connection with a $110 million scheme involving medically unnecessary durable medical equipment.  

  

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