From a former hospital CEO agreeing to pay $5.3 million to settle False Claims Act allegations, to the indictment of seven people in an alleged $40 million scheme, here are 12 healthcare billing fraud cases that Becker's has reported on since Sept. 16:
1. A physician assistant from Monroe, N.C., was sentenced to six years in prison for his role in a genetic testing scheme involving $10 million in fraudulent Medicare claims.
2. An Indiana physician was sentenced to one year and one day in prison after pleading guilty to healthcare fraud.
3. The former CEO of a Texas hospital agreed to pay more than $5.3 million to resolve allegations under the False Claims Act involving laboratory testing.
4. A New Jersey-based company agreed to pay more than $11.3 million to settle False Claims Act allegations arising from fraudulently reported call center performance metrics and fraudulent claims to the South Carolina Department of Health and Human Services.
5. The owner of a Chicago laboratory pleaded guilty to his role in a $14 million COVID-19 testing fraud scheme.
6. A hospital, a laboratory, three lab employees, a referring physician and his office manager agreed to collectively pay more than $7.2 million to resolve allegations they defrauded healthcare programs through unnecessary or tainted laboratory testing.
7. The owner of three Ohio-based home healthcare companies was convicted on all 13 charges against her in a Medicaid fraud scheme.
8. The former CFO and president of a New Jersey-based pharmacy pleaded guilty to their roles in a $33 million compounded medication kickback scheme.
9. Franklin, Tenn.-based Acadia Healthcare agreed to pay $19.85 million to settle allegations that it submitted false claims for unnecessary behavioral health services.
10. Seven people were indicted for their alleged roles in a more than $40 million Medicare and Medicaid fraud scheme.
11. The managers of a Matteson, Ill.-based youth counseling center were sentenced to prison for defrauding the state's Medicaid program of $2.5 million.
12. A licensed professional counselor was indicted on 10 counts of healthcare fraud and three counts of aggravated identity theft for allegedly submitting $2 million in false claims to Texas' Medicaid program.