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41. Former Georgia insurance commissioner pleads guilty to healthcare fraud
A former Georgia insurance commissioner has pleaded guilty to participating in a healthcare fraud scheme that billed private insurers for over $2.5 million in false claims. According to a March 22 ...22 March 2024 -
42. Man sentenced to prison for role in '1 of the largest Medicare fraud schemes in history'
A South Carolina man who owned at least 10 durable medical equipment companies was sentenced to nine years in prison for what the Justice Department called "one of the largest Medicare fraud schemes in ...21 March 2024 -
43. Podiatrist convicted in $4M fraud scheme
A Tennessee podiatrist was convicted of defrauding Medicare and the state's Medicaid program by prescribing and dispensing medically unnecessary foot bath medications. Nathan Lucas, DPM, 59, of Memphis, ...20 March 2024 -
44. Former NBA player avoids prison for role in healthcare fraud scheme
Former NBA shooting guard Antoine Wright was sentenced to time served for his role in a scheme to defraud the league's healthcare plan out of $5 million, Law360 reported March 19. Twenty-five retired ...20 March 2024 -
45. Iowa nurse pleads not guilty to overdosing patients
... these issues to the Iowa Board of Nursing, which prompted an investigation by the Iowa Medicaid Fraud Control Unit." Spencer Hospital has fully cooperated with the fraud unit's investigation, the statement ...19 March 2024 -
46. Nursing students stuck in licensing limbo after degree scheme
A year after the federal government came down on fraudulent for-profit schools, some students are stuck in licensing limbo, the Miami Herald reported March 17. Hundreds of aspiring nurses are left ...18 March 2024 -
47. 12 key legal issues impacting health systems
... is the highest number recorded in a single year, with healthcare fraud making up the bulk of cases and valued at over $1.8 billion. 2. Increased antitrust investigations and challenges to mergers ...18 March 2024 -
48. 'The Wild West': Physicians worry guardrails lacking amid remote monitoring boo
... remote monitoring receive it, but she noted that the agency balances the need to give patients access to emergency technologies with the need to combat fraud and make proper payments to providers. Meanwhile, ...18 March 2024 -
49. The provider types with the most Medicaid fraud civil settlements in 2023
Medical device manufacturers accounted for the most Medicaid fraud civil settlements and judgments in 2023, according to a report from the HHS Office of Inspector General. The OIG's Medicaid Fraud ...15 March 2024 -
50. Father, son sentenced to prison for $46M fraud scheme
A father and son have been sentenced to prison for their roles in a scheme that attempted to defraud Medicare out of $46 million. Anthony Bell Sr., 55, and Anthony Bell Jr., 33, both of El Cajon, ...12 March 2024 -
51. Healthcare billing fraud: 10 recent cases
From a New York City physician indicted in an alleged $20.7 million scheme to a call center owner indicted in a $97 million scheme, here are 10 healthcare billing fraud cases that Becker's has reported ...11 March 2024 -
52. Medical supply CEO found guilty for 'dummy' device schem
... in a statement. After an 11-day trial, Ms. Perryman was convicted of one count of healthcare fraud, which has a maximum sentence of 10 years in prison, and one count of conspiracy to commit healthcare ...08 March 2024 -
53. Husband, wife sentenced for $125M fraud scheme
A Florida man and woman were each sentenced to 27 months in prison for their roles in a scheme that submitted $125 million in fraudulent claims to Medicare and Tricare. Additionally, Charles Green ...06 March 2024 -
54. CommonSpirit 'having real issues' with Medicare Advantage, CFO says
... denial rates and slow payments from insurers are some of the biggest challenges that health systems across the country are seeing with MA. Some MA carriers have also faced federal billing fraud allegations ...04 March 2024 -
55. TikTokers stealing clinicians' identities to promote supplements
... documentation prior to listing these products on TikTok Shop. Forbes, meanwhile, used the reporting tool to flag several posts for misinformation and fraud, but within 30 minutes, they came back as "no ...04 March 2024 -
56. Pharmacy CEO sentenced for lying about $40M fraud scheme
The former CEO and president of a compounding pharmacy in Florida was sentenced to six months in prison for lying to federal agents during a healthcare fraud scheme investigation. Patrick Smith, 71, ...01 March 2024 -
57. Owner of 4 pharmacies convicted in $2.3M fraud case
... The pharmacies also allowed the drug to be dispensed without prescriptions. The scheme defrauded Medicaid of $2.3 million, according to the Justice Department. The defendants were convicted of one ...28 February 2024 -
58. Marketing company owner charged in $10M fraud scheme
A marketing company owner from California was charged for his alleged role in a fraud and kickback scheme that cost Medicare more than $10 million. Adam Owens, 43, of Riverside, is accused of participating ...28 February 2024 -
59. Multiple hospital groups point to opioid crisis for financial struggles
... affiliated with Allegiance Health Management, along with other plaintiffs. The complaint alleges that more than 12 defendants engaged in fraud, nuisance, racketeering, civil conspiracy, and unjust enrichment ...28 February 2024 -
60. Call center owner indicted in $97M Medicare fraud scheme
A call center owner was indicted on 10 charges for his alleged role in a durable medical equipment kickback scheme that caused Medicare to lose $97 million. Raheel Naviwala, 35, of Coral Springs, ...23 February 2024