From the former CFO of a Chicago hospital charged in a suspected $290 million COVID-19 testing fraud scheme to the conviction of a healthcare software CEO in a $1 billion case, here are 10 recent healthcare billing fraud cases that Becker’s has reported on since June 3:
1. A former physician from Columbus, Ohio, was sentenced to two years in prison for a $1.5 million Medicaid fraud scheme.
2. The former CFO of Loretto Hospital in Chicago is charged with multiple co-conspirators in a suspected $290 million COVID-19 testing fraud and kickback scheme.
3. The owner of a Chicago laboratory was sentenced to seven years in prison for his role in a $14 million COVID-19 testing fraud scheme.
4. A physician from Porter Ranch, Calif., was sentenced to 54 months in prison for falsifying home health certifications and fraudulently billing Medicare.
5. Four Florida residents were charged for their roles in a Medicare fraud scheme involving physician kickbacks.
6. A former Roanoke, Va., physician, was sentenced to 40 months in prison for healthcare fraud and illegal opioid prescribing.
7. An Illinois physician was sentenced to 10 years in prison for billing Medicaid and private payers for nonexistent and unnecessary services.
8. The CEO of a healthcare software company was convicted by a federal jury for his role in operating a platform that generated fraudulent physicians’ orders to defraud Medicare and other payers out of more than $1 billion.
9. A Louisiana man pleaded guilty to his role in a $3.8 million fraud scheme involving medically unnecessary medical equipment and physician kickbacks.
10. A Chula Vista, Calif., man who owned and operated multiple durable medical equipment companies pleaded guilty to his role in a $51 million Medicare fraud scheme.
