1. The part owner and operator of a home health company was convicted for her role in a $100 million Medicaid fraud scheme.
2. A physician and her husband were charged with fraud and tax evasion related to a scheme that defrauded healthcare benefits programs of more than $10 million.
3. An Ohio physician was sentenced to 26 months in prison for her role in a scheme that billed Medicare more than $8 million for orthotic devices that were not medically necessary.
4. A Whitefish, Mont. physician pleaded guilty to fraudulently billing Medicare and other healthcare programs in a $39 million telemedicine fraud scheme.
5. Guardant Health, a precision oncology company, agreed to pay more than $900,000 to settle allegations that it submitted false claims to Medicare and Tricare.
6. A medical marketer was sentenced to two years and five months in prison and ordered to pay more than $59 million in restitution for his role in a scheme that defrauded Tricare and other federal healthcare programs.
7. A former Georgia insurance commissioner was sentenced to 3.5 years in prison for conspiracy to commit healthcare fraud.
8. Three laboratories agreed to pay $2.45 million to resolve allegations they submitted claims containing manipulated diagnosis codes to Medicare and Medicaid.
9. A California-based laboratory agreed to pay $1 million to resolve allegations that it double-billed Medicare for urine drug testing.
10. Strauss Ventures, doing business as Grand Healthcare System, and 12 skilled nursing facilities will pay $21.3 million to settle allegations they billed federal healthcare programs for services that were unreasonable, unnecessary, unskilled or that did not occur as billed.
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.