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181. Healthcare billing fraud: 10 recent cases
From a New York cardiologist agreeing to relinquish his practice as part of a settlement agreement, to a nurse practitioner convicted in a $200 million scheme, here are 10 healthcare billing fraud cases ...03 October 2023 -
182. How to boost healthcare fraud detection accuracy while minimizing false positives
The healthcare industry loses an estimated $430 billion annually to increasingly complex fraud, waste and abuse. Only 10 to 15 percent is ever recovered. With artificial intelligence, ...02 October 2023 -
183. Hospice medical director gets prison for role in $150M fraud scheme
The former medical director of a Texas hospice company was sentenced to 50 months in prison for his role in a scheme that submitted more than $150 million in false claims to Medicare. Jesus Virlar-Cadena, ...29 September 2023 -
184. 4 sentenced in nurse degree sham; more await sentencing
Four individuals in South Florida have been sentenced to prison for their role in a coordinated scheme to sell more than 7,600 fraudulent diplomas and transcripts to aspiring nurses, which enabled them ...29 September 2023 -
185. Husband-wife duo sentenced for healthcare fraud scheme
... mail fraud, wire fraud and healthcare fraud. Dr. Oliver Jenkins was sentenced to 41 months of prison, followed by a year of supervised release and must pay a $15,000 fine. Dr. Sherry-Ann Jenkins was sentenced ...29 September 2023 -
186. Owner of telemedicine companies pleads guilty in $44M fraud scheme
The owner of two telemedicine companies pleaded guilty to his role in a $44 million fraud scheme involving medically unnecessary durable medical equipment. David Santana, 38, of Reading, Mass., owned ...28 September 2023 -
187. Michigan woman accused of posing as nurse indicted on 4 counts
... a license in Texas in 2015 and 2016. She was indicted on charges of wire fraud, aggravated identity theft, making false statements in medical records affecting healthcare benefit programs as well as ...28 September 2023 -
188. Hospitals are dropping Medicare Advantage plans left and right
... faced allegations of billing fraud from the federal government and are being probed by lawmakers over their high denial rates. "It's become a game of delay, deny and not pay,'' Chris Van Gorder, president ...27 September 2023 -
189. 2 pharmacists, physician charged in $170M fraud scheme
A physician and two pharmacists in Texas were charged in connection to a six-year, $170 million healthcare fraud case, the Justice Department said Sept. 26. Court documents allege that from 2016 to ...27 September 2023 -
190. Physician found guilty of making false statements in fraud scheme
A Charlotte, N.C., physician was found guilty of making false statements in connection with a scheme that defrauded federal benefits programs of more than $5 million. Sudipta Mazumder, 47, was found ...27 September 2023 -
191. Feds secure $372M from lab testing scheme that targeted Medicare
The Justice Department has obtained $372 million in judgments against Kentucky businessman Rajen Shah and his companies for a laboratory testing scheme that targeted Medicare. A complaint-in-intervention ...27 September 2023 -
192. Medical equipment provider to pay $12M in fraud scheme
A medical equipment provider was ordered to pay $12 million in damages and penalties after being found liable in a Medicare fraud scheme. Medicare paid AZ Diabetic Supply more than $600,000 in reimbursement ...26 September 2023 -
193. Texas rehab closes all locations amid federal probe
The Texas Federal Wellness Health and Rehab in Edinburg has shut its doors following a months-long federal investigation into claims that a co-owner and his sister were defrauding a federal worker's compensation ...25 September 2023 -
194. Nurse practitioner convicted in $200M fraud scheme
A Florida nurse practitioner was convicted Sept. 20 in a $200 million Medicare fraud scheme. Elizabeth Hernandez, 45, was found guilty of signing thousands of orders for medically unnecessary orthotic ...22 September 2023 -
195. Penn Medicine hospital leader with checkered past resigns after 1 month on job
... "He was immediately terminated upon learning about [his] background," she said. In August 2015, Mr. Butler was sentenced to five years in federal prison for defrauding two of his former employers, according ...21 September 2023 -
196. Healthcare billing fraud: 10 recent cases
... fraud cases Becker's reported since Aug. 31: 1. A former Missouri physician was sentenced to 22 months in prison after he pleaded guilty to using his father's name to bill Medicare and Medicaid after ...19 September 2023 -
197. Ex-Texas hospital president pleads guilty to conspiracy
Syed Rizwan Mohiuddin, former president of United Memorial Medical Center in Houston, has pleaded guilty to a charge of conspiracy to defraud the federal government, according to the Houston Chronicle. ...18 September 2023 -
198. Nurse staffing executive faces new fraud charges
A federal grand jury has returned a superseding indictment against an executive at three different healthcare staffing agencies in the Las Vegas area, charging him with wage fixing and wire fraud. On ...15 September 2023 -
199. 4 plead guilty in $7M COVID-19 test fraud scheme
Four people have pleaded guilty for their roles in a scheme to defraud insurers by billing for fake COVID-19 tests. Terrance Barnard, an Irving, Texas resident, pleaded guilty to conspiracy to commit ...14 September 2023 -
200. Dermatology clinic operator to pay $8.9M to settle self-reported billing fraud
... from the Justice Department, Oliver Street Dermatology Management, which operates dermatology practices, surgical centers and labs nationwide, self-reported the alleged fraud. Oliver Street Dermatology ...14 September 2023