From two men charged in a $227 million Medicare scheme to a Boston physician pleading guilty to her role in a $35.3 million Medicare scheme, here are 10 healthcare billing fraud cases that Becker’s has reported since April 24:
1. Two Illinois men have been charged for allegedly submitting more than $227 million in fraudulent claims to Medicare.
2. A Slidell, La., physician pleaded guilty to conspiracy to commit healthcare fraud in a scheme to bill Medicare for medically unnecessary tests.
3. A rheumatologist from Mission, Texas, was sentenced to 10 years for falsely diagnosing patients with chronic illnesses and billing insurers for more than $118 million in fraudulent claims.
4. Four people were sentenced for their roles in a kickback conspiracy that resulted in more than $110 million in fraudulent claims being submitted to federal health programs.
5. A New York man was sentenced to 14 months in prison for leading a $48 million Medicare fraud scheme.
6. A Louisiana nurse practitioner was convicted by a federal jury for her role in a $2 million Medicare fraud scheme.
7. A Kernersville, N.C., clinic owner agreed to pay $4.7 million to resolve healthcare fraud allegations.
8. A Boston-based physician was charged and agreed to plead guilty for her role in a $35.3 million Medicare fraud scheme involving genetic testing services she never provided.
9. Two operators of a New Jersey-based marketing company were sentenced to prison for their roles in a $127 million healthcare fraud and kickback scheme.
10. The former owner and operator of Pain Medicine of York (Pa.) was sentenced to 42 months in federal prison and ordered to pay nearly $3 million in restitution for his role in a scheme involving medically unnecessary urine drug tests for opioid patients.
