From a call center owner and employee pleading guilty to their roles in a $67 million scheme to a behavioral health provider agreeing to settle allegations it billed Virginia Medicaid for services that were not provided, here are 12 healthcare billing fraud cases Becker's has reported since July 5:
1. An Illinois physician agreed to pay $750,000 to settle allegations he submitted fraudulent claims to Medicare and the Federal Employees Health Benefits Program.
2. A prominent Arkansas psychiatrist is under federal investigation for alleged an Medicaid fraud scheme and false imprisonment.
3. A Fort Worth, Texas-based physician's assistant was charged with 11 counts of healthcare fraud and one count of conspiracy to commit healthcare fraud.
4. A call center owner and employee pleaded guilty to their roles in a $67 million Medicare fraud scheme.
5. A Maryland mental health clinic owner pleaded guilty to a scheme to defraud Medicaid by paying Medicaid recipients to visit her clinic.
6. A Tennessee dermatologist and his practice will pay $6.6 million to settle allegations the practice improperly billed procedures to Medicare and Medicaid.
7. A Texas pharmacy owner was sentenced to 54 months in prison for operating a fraudulent pharmacy to bill private payers.
8. A California physician and the pain clinic chain he owned agreed to pay more than $11.3 million to settle allegations they submitted millions of dollars of false claims to Medicare, Medi-Cal and Oregon Medicaid for medically unnecessary services.
9. The owner and manager of a New York City pharmacy were charged in a Medicaid fraud scheme that billed a managed care provider for drugs illegally obtained or never purchased.
10. A Virginia woman was sentenced to 51 months in prison for housing Medicaid recipients in her personal home and billing Medicaid for care not provided to them.
11. Behavioral health provider Health Connect America agreed to pay $4.6 million to resolve allegations it billed Virginia Medicaid for services that were not provided.
12. The Lakewood, N.J.-based owner of a medical equipment company pleaded guilty to healthcare fraud for his role in a $21.7 million Medicare fraud scheme.