Healthcare billing fraud: 10 recent cases 

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From the owner of a California medical center charged in an alleged $11 million scheme to an Alabama physician sentenced in a telemedicine fraud case, here are 10 healthcare billing fraud cases Becker’s has reported since March 6: 

1. An Alabama physician was sentenced to 16 months in prison for a $2.7 million telemedicine fraud scheme involving medically unnecessary durable medical equipment and genetic testing.

2. A Florida physician pleaded guilty to making false statements in connection with a multimillion-dollar healthcare fraud scheme involving medically unnecessary genetic testing and durable medical equipment. 

3. A Greenbelt, Md.-based vascular company and its physician CEO agreed to pay $4 million to resolve allegations of billing federal healthcare programs for medically unnecessary procedures.

4. An Anchorage physician was sentenced to six and a half years in prison for a $12.5 million healthcare fraud scheme and evading more than $4 million in taxes. 

5. A California medical center was shuttered and its owner charged with an $11 million fraud scheme. 

6. Two Missouri physicians are facing a False Claims Act complaint regarding alleged improper billing using the RST-Sanexas neoGEN-series electric stimulation device. 

7. Chattanooga, Tenn.-based Erlanger Health System must defend against a pair of False Claims Act lawsuits after a federal judge denied the system’s dismissal bids. 

8. A Texas man was sentenced to 90 months in prison for his role in a $59.9 million scheme involving medically unnecessary durable medical equipment billed to Medicare. 

9. A Kansas anesthesiologist was sentenced to three years in prison for a telemarketing scheme that billed Medicare for medically unnecessary orthotic braces. 

10. Medical equipment company Kinex Medical Company agreed to pay $6.9 million to resolve allegations it submitted false claims to Medicare, TriCare and other federal healthcare programs. 

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