From The Village Health agreeing to pay more than $500 million to resolve allegations it violated the False Claims Act, to a Georgian national indicted for his role in an alleged $1.3 billion scheme, here are 10 healthcare billing fraud cases that Becker’s has reported on since Aug. 19:
1. A federal jury convicted three defendants in an $11 million Medicaid fraud and kickback scheme involving a Henrico, Va.-based mental health agency.
2. CMS said it is barring 11 medical supply companies focused on durable medical equipment, prosthetics, orthotics and supplies from earning future Medicare Advantage Part C and Part D payments. In 2025 and 2026, these companies had more than $3.4 billion in suspected fraudulent billing practices.
3. Two Florida men were sentenced to prison for their roles in a $34.8 million Medicare fraud scheme involving unnecessary orthotic braces.
4. A Georgian national was indicted by a federal grand jury in Boston on one count of money laundering conspiracy tied to a $1.3 billion healthcare fraud scheme.
5. Louisville, Ky.-based Heuser Health agreed to pay $2.6 million to resolve allegations that it violated the False Claims Act by overbilling Medicare and Tricare for skin substitute products.
6. The Villages (Fla.) Health, a primary and specialty care provider group, agreed to pay $541.5 million to resolve allegations that it violated the False Claims Act by submitting improper Medicare Advantage diagnosis codes.
7. Dallas-based Aymancare PLLC agreed to pay $7.5 million to resolve allegations that it overbilled the federal government for COVID-19 testing at its Dallas-area clinics.
8. Tennessee-based in-home care provider Monogram Health agreed to pay $2.4 million to settle allegations that it caused the submission of false diagnosis codes to boost Medicare Advantage payments.
9. Steven Richardson, the former owner of Expansion Media and Hybrid Management Group, was sentenced to two years in federal prison for a $110 million telehealth Medicare fraud scheme.
10. The Justice Department and the State of Illinois filed a complaint in intervention alleging that a Chicago-area podiatry practice and its billing companies knowingly submitted fraudulent claims to Medicare and Medicaid, netting more than $5.2 million in improper payments.
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