From a pair of durable medical equipment company owners charged in a nearly $35 million scheme to a Pennsylvania physician sentenced to 14 years in prison, here are 10 healthcare billing fraud cases that Becker’s has reported since Aug. 19:
1. A pair of Florida men who owned and operated seven durable medical equipment companies were charged with submitting $34.8 million in fraudulent claims for medically unnecessary equipment.
2. A Washington urgent care clinic agreed to pay $2.8 million to resolve allegations it fraudulently overbilled Medicare and Medicaid for diagnostic tests.
3. An OB-GYN in Reno, Nev., was arrested for allegedly defrauding healthcare programs by submitting false claims for unnecessary gynecologic tests and surgeries, some of which caused serious medical complications.
4. A Clovis, Calif., podiatrist and a sales representative pleaded guilty to conspiring to commit healthcare fraud.
5. A physician in Bensalem, Pa., was sentenced to 14 years in prison and must pay $4 million for his role in an illegal opioid fraud scheme.
6. Three former owners of a Virginia-based home health company pleaded guilty for their roles in a scheme to submit false claims to Medicaid for services that were not provided.
7. The former COO of Jackson Health Foundation — the fundraising arm of Miami-based Jackson Health System — pleaded guilty to embezzling millions of dollars from the nonprofit through false invoices, kickbacks and misuse of donations.
8. An Alabama physician was charged and agreed to plead guilty to his role in a $6 million telemedicine fraud scheme.
9. A New York City-based cardiologist was sentenced to 37 months in prison for his role in a fraud and bribery scheme.
10. A Saginaw, Mich.-based physician was charged with 23 counts of Medicare fraud.
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