Here are 15 healthcare billing fraud cases that Becker’s has reported since Feb. 18:
1. An Ohio woman pleaded guilty to a $1.5 million Medicaid fraud scheme that involved stealing multiple identities to open and operate two behavioral health agencies, and stealing the identities of several licensed counselors to use their credentials to bill Medicaid for behavioral health services.
2. A physician from Mount Airy, N.C., was sentenced to 30 months in prison and ordered to pay more than $2 million for his role in a fraud scheme.
3. A physician, several home health agencies and a laboratory were indicted for their role in a $7.8 million fraud and kickback scheme.
4. A physician from Slidell, La., was charged with conspiracy to commit healthcare fraud in connection with an alleged $6.6 million scheme to bill Medicare for unnecessary cancer genetic tests.
5. In the highest forfeiture secured by the Justice Department’s health care fraud unit, a federal court ordered a Texas pharmacist to forfeit $405 million in assets tied to fraud and money laundering schemes.
6. A Florida man who owned marketing companies and a durable medical equipment company was convicted for his role in a $100 million scheme to defraud Medicare and other insurers.
7. A Maryland behavioral health company owner pleaded guilty to a $3.6 million Medicaid fraud scheme.
8. A Waxahachie, Texas-based nurse practitioner who was previously convicted of wire fraud conspiracy and sentenced to 20 years in prison in 2021 will forfeit more than $40 million from foreign accounts.
9. A Tennessee gynecologist was indicted for allegedly abusing patients, adulterating medical devices for reuse on patients, and healthcare fraud.
10. A Connecticut mental health provider was sentenced to three years in prison for defrauding Medicaid of more than $1.6 million.
11. The owner of two durable medical equipment companies was charged for his alleged role in a $30 million Medicare fraud scheme.
12. A Kansas man pleaded guilty to operating a fraud scheme that billed Medicare and other health insurers more than $1 billion through an online platform for durable medical equipment and fake physician orders.
13. A St. Louis physician who owned two urgent care centers was sentenced to 35 months in prison for defrauding Medicare and Missouri Medicaid.
14. The president of an insurance brokerage firm and the CEO of a marketing company were charged for their alleged roles in a scheme to submit fraudulent enrollments for fully subsidized ACA plans in order to obtain millions of dollars in commission payments for insurance companies.
15. Saint Vincent’s Catholic Medical Centers of New York has agreed to pay $29 million to settle allegations it concealed overpayments for services provided to retired military members and their families.