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1. California physician pleads guilty to $4.6M fraud scheme
The owner and sole physician of a medical clinic in Bellflower, Calif., pleaded guilty to a scheme that submitted more than $4.6 million in fraudulent claims to Medi-Cal. Robert Eyzaguirre, MD, 77, ...08 May 2024 -
2. Man who used Pennsylvania hospital for Medicare scam gets 10 year prison sentence
A Florida lab owner was sentenced to 10 years in prison for three fraud schemes, including a conspiracy involving $25 million in fraudulent Medicare claims submitted by Ellwood City (Pa.) Medical Center. ...08 May 2024 -
3. Physician gets prison for fraud scheme targeting Amtrak
A New Jersey physician was sentenced to 26 months in prison for his role in a healthcare fraud scheme that targeted Amtrak. Muhammad Mirza, MD, 51, of Cedar Grove was also ordered to pay $1.37 million ...07 May 2024 -
4. Ex-Illinois hospital COO sentenced in fraud scheme
An attorney who worked as a vice president and COO of an Illinois hospital and pleaded guilty to a federal mail fraud charge has been sentenced to a year and a half in federal prison. Robert Spadoni, ...02 May 2024 -
5. ShiftMed Acquires CareerStaff Unlimited MSP to Expand Leading Digital On-Demand Nursing Platform
... through a single VMS, consolidate contracts, and lower agency spend. The platform includes scheduling, shift confirmation, credentialing, invoice reconciliation, and fraud control. Clients can easily post ...01 May 2024 -
6. Healthcare billing fraud: 11 recent cases
From the conviction of a New Jersey physician for submitting more than $5.4 million in fraudulent claims to the indictment of a Mississippi man for his role in a $70 million Medicare fraud scheme, here ...01 May 2024 -
7. Physician convicted in $5.4M fraud scheme
A New Jersey physician was convicted for submitting more than $5.4 million in fraudulent claims to Medicare as part of a telemarketing scheme. Adarsh Gupta, MD, 51 of Sewell, signed thousands of prescriptions ...29 April 2024 -
8. The Importance of Identity Verification in Healthcare
... in security protocols. These fraudsters leverage stolen identities, often from roles with access to the most sensitive information, to manipulate IT help desks and gain unauthorized access to critical ...26 April 2024 -
9. Lab owners charged in $36M COVID-19 testing fraud scheme
Three owners of an independent laboratory have been charged for their alleged roles in a $36 million fraud scheme. The three men allegedly submitted false claims for COVID-19 testing to healthcare ...25 April 2024 -
10. 141+ women in health IT to know | 2024
... healthcare, such as claims denial and prior authorization. Under her leadership, 4L Data has made significant strides in combating fraud, waste and abuse through AI. She is also passionate about shaping ...22 April 2024 -
11. Pennsylvania healthcare facility owner indicted on fraud charges
The owner of a Pittsburgh-based healthcare facility was indicted on 33 total charges of healthcare fraud, making false statements relating to healthcare matters and money laundering. Kelley Oliver-Hollis, ...22 April 2024 -
12. Judge recommends tossing CommonSpirit data breach lawsuit
... the more-than-140-hospital system was hacked in October of that year. Ms. Maser had asserted that cybercriminals racked up over $3,000 in fraudulent charges to her credit union account because of the ...22 April 2024 -
13. Manager of New York clinics resentenced for kickback scheme
The manager of medical clinics in New York City was resentenced to nine years in prison and ordered to pay $39 million in restitution for his role in a healthcare fraud scheme and tax avoidance conspiracy. ...18 April 2024 -
14. HHS OIG turns down 300-400 'viable' healthcare fraud cases each year
HHS Inspector General Christi Grimm said her office has a "pressing need" for more funding to combat healthcare fraud, waste and abuse. Ms. Grimm said in written testimony submitted to the House Subcommittee ...18 April 2024 -
15. Inside healthcare's imposter proble
It has been over a year since the FBI and Justice Department disclosed "Operation Nightingale," which cracked open a fake nursing degree scheme at three now-shuttered schools. More than 7,600 fraudulent ...16 April 2024 -
16. Ex-hospital director pleads guilty to embezzling $600K+
... She pleaded guilty to various felonies — including theft by unlawful taking, forgery, access device fraud and computer trespassing — and was sentenced to five years probation, according to the report. ...16 April 2024 -
17. Man charged in $70M Medicare fraud scheme
A Mississippi man faces up to 25 years in prison for his alleged role in a Medicare fraud scheme exceeding $70 million. In an indictment unsealed earlier this month in a U.S. District Court in Tampa, ...16 April 2024 -
18. Clinic owner, medical director sentenced to prison for $4M fraud scheme
The owner and the medical director of a Kentucky pain clinic were sentenced for their roles in a $4 million urine drug testing fraud scheme. The owner, Timothy Ehn, 51, of Union, Ky., was sentenced ...15 April 2024 -
19. Biotech CEO sentenced for $28M fraud scheme
The CEO of biotech company Decision Diagnostics Corp., Keith Berman, was sentenced to seven years in prison for a securities fraud scheme that resulted in about $28 million in investor losses and obstruction ...15 April 2024 -
20. Cardiologist pleads guilty to $1.9M fraud
A New Jersey cardiologist and practice owner pleaded guilty to a $1.9 million healthcare fraud scheme. Fazal Panezai, MD, 76, owned and operated Matawan-Aberdeen Heart & Medical Center. He submitted ...15 April 2024