From the largest National Health Care Fraud Takedown operation in the Justice Department’s history to another suspect charged in a case involving a Chicago hospital, here are 10 healthcare billing fraud cases that Becker’s has reported on since June 30:
1. Urgent care center operator Bloom Care has agreed to pay $3 million to settle allegations that it submitted false claims to federal healthcare programs for medically unnecessary testing and inflated the extent of services performed.
2. A California man who owned two durable medical equipment companies pleaded guilty to his role in a $5.9 million Medicare fraud scheme.
3. An Avon, Ohio-based physician pleaded guilty to submitting fraudulent orders for durable medical equipment as part of a telemedicine scheme that defrauded Medicare.
4. A federal judge ordered CVS Health subsidiary Omnicare to pay $948.8 million in damages and penalties for submitting fraudulent Medicare and Medicaid claims.
5. Mahmood Kahn, the owner of two allegedly fraudulent COVID-19 testing labs, pleaded not guilty to federal charges connected to what the Justice Department said is a scheme that funneled more than $290 million in federal funds for testing that never occurred.
6. A federal investigation of a suspected COVID-19 testing fraud-and-kickback scheme involving Chicago’s Loretto Hospital netted the indictment of the operator of Meridian Medical Staffing, which purported to contract with COVID-19 test collection sites in Illinois and Florida that collected specimens for PCR tests, including Loretto.
7. Minneapolis-based Nuway Alliance will pay $18.5 million to settle allegations it submitted fraudulent Medicaid claims.
8. The Justice Department, through its 2025 National Health Care Fraud Takedown investigation, charged 324 defendants in schemes involving more than $14.6 billion in intended losses to Medicare, Medicaid and other government programs.
9. The largest case from the investigation, dubbed Operation Gold Rush, involves the biggest alleged loss in any healthcare fraud case brought by the department. The $10.6 billion scheme involved 19 defendants — 12 of whom have been arrested, including four in Estonia.
10. A Michigan physician was sentenced to four years in prison for her role in a $6.3 million Medicare fraud scheme.
