Healthcare billing fraud: 10 recent cases

From a Texas physician convicted in a $70 million scheme to an Illinois physician getting an eight-year prison sentence for a $1.2 million scheme, here are 10 healthcare billing fraud cases Becker's has reported since June 7:

1. A Chicago-based healthcare company and its former owners agreed to pay $2 million to settle allegations that it submitted false claims to Medicare and Medicaid. 

2. The CEO of medical device company Stimwave was sentenced to six years in prison for helping create and sell fake components for chronic pain devices implanted in patients. The scheme cost Medicare and other insurers thousands of dollars in reimbursements for inoperable devices. 

3. A physician from Fredericksburg, Texas, was convicted by a jury for causing the submission of more than $70 million in fraudulent healthcare claims.

4. An Illinois physician was sentenced to eight years in prison for a more than $1.2 million Medicaid fraud scheme. 

5. Paul Mansour, a pharmacist and co-owner of Best Buy Drugs in Sierra Madre, Calif., was sentenced to two years in prison after entering a guilty plea for billing more than $1 million in fraudulent claims for prescription drugs that were never given to patients. 

6. A former physician who owned three clinics in Alabama and her wife pleaded guilty to their roles in a $2.3 million scheme. 

7. CityMD agreed to pay the federal government $12 million to settle fraud allegations related to COVID-19 tests. 

8. A psychiatrist in Wellesley, Mass., was sentenced to prison for charges related to a scheme that defrauded Medicare and private insurers of more than $19 million.

9. A lab owner from Morton Grove, Ill. is accused of submitting more than $60 million in false claims to Medicare as part of COVID-19 testing fraud scheme.

10. A California sleep clinic owner was sentenced to 46 months in prison for submitting more than $1.5 million in fraudulent claims to Medicare and Medi-Cal. 

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