From a Tennessee physician sentenced to prison for his role in a $41 million Medicare scheme to Walgreens agreeing to a $350 million settlement, here are 10 healthcare billing fraud cases that Becker’s has reported since March 31:
1. Walgreens agreed to pay $350 million to resolve allegations it filled millions of unlawful opioid prescriptions and submitted false claims for payment to federal healthcare programs.
2. The executive vice president of an insurance brokerage firm pleaded guilty to his role in a scheme to submit fraudulent applications to enroll individuals in ACA plans.
3. Semler Scientific reached an agreement in principle with the U.S. Department of Justice to settle fraud claims for $29.75 million.
4. A Tennessee physician was sentenced to three years in prison after pleading guilty to his role in a $41 million Medicare fraud scheme.
5. An Ohio physician pleaded guilty to his role in a $14.5 million Medicare fraud scheme that prescribed medical equipment and lab tests for patients who did not need them.
6. A Minnesota couple was indicted for an alleged $15 million scheme to defraud Medicare, Medicaid and other insurers by overbilling for neurofeedback therapy.
7. The owner of three Ohio-based home healthcare companies was sentenced to 42 months in prison after she was found guilty on all 13 charges against her in a $5.7 million Medicaid fraud scheme.
8. The CEO, the medical director and the billing manager of a Kentucky addiction treatment clinic were convicted for their roles in an $8 million fraud scheme.
9. Medical service providers in Texas agreed to pay $3.1 million to resolve allegations of improper billing for imaging services.
10. An acupuncturist from Great Neck, N.Y., pleaded guilty to her role in a $23 million fraud scheme.
