Healthcare billing fraud: 8 recent cases

From a former dermatologist to prison for a $120 million scheme, to Johns Hopkins agreeing to settle Stark Law violation allegations, here are eight healthcare fraud cases Becker's reported since April 13: 

1. A Florida chiropractor and surgeon who were convicted in a $31 million scheme to defraud Medicare have been sentenced to prison. 

2. The Justice Department charged 18 defendants in separate COVID-19-related fraud schemes, in the largest coordinated law enforcement action targeting COVID-19 fraud to date. 

3. Fairfax, Va.-based 1st Adult & Pediatrics Healthcare Services agreed to pay $3 million to resolve allegations that it violated the False Claims Act.

4. A former dermatologist was sentenced to seven years in prison for fraudulently submitting nearly $120 million in claims related to the 1-800-GET-THIN Lap-Band surgery business.

5. Washington, D.C.-based Sibley Hospital and its parent company, Baltimore-based Johns Hopkins Health System, agreed to pay $5 million to settle Stark Law violation allegations.

6. Texas physician James Don Jackson, MD, and eight others, including three pharmacy owners, two pharmacists and three patient recruiters, were sentenced for their roles in a $126 million compounding pharmacy fraud scheme designed to bilk workers' compensation programs and Tricare.

7. An Arkansas physician convicted of a $12 million fraud scheme was sentenced to 102 months in federal prison and ordered to pay more than $4.63 million in restitution to Tricare. 

8. A Florida-based marketer was sentenced to 41 months in prison for buying and selling more than 2.6 million Medicare beneficiary identification numbers and other personal identifying information.

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