Healthcare billing fraud: 10 recent cases 

Here are 10 healthcare billing fraud cases Becker's has reported since May 9: 

1. A Michigan vascular surgeon will serve 80 months in prison for submitting $19.5 million in fraudulent claims to Medicare, Medicaid and Blue Cross Blue Shield of Michigan.

2. A former New Hampshire physician pleaded guilty to healthcare fraud for his role in a $1.9 million Medicare fraud scheme. 

3. An Ohio physician was sentenced to six years in prison after pleading guilty to healthcare fraud and illegally prescribing controlled substances. 

4. Former administrators at a New York City skilled-nursing facility will pay $3.46 million to settle allegations the facility switched residents' insurance, often without their full consent, and paid kickbacks to a hospital employee to recruit residents with original Medicare. 

5. A federal judge ordered a Chicago physician and his wife to pay $3 million in civil damages and penalties after they were found guilty of receiving kickbacks from a home health agency as payment for Medicare patient referrals.

6. Springfield, Ill.-based St. Elizabeth's Hospital agreed to pay $12.5 million to settle allegations in a whistleblower suit that it committed billing errors resulting in an overpayment for services.

7. A Pennsylvania clinic executive was charged with conspiracy to commit healthcare fraud for allegedly billing Medicare for $10 million worth of medically unnecessary urine drug tests. 

8. A Kansas physician pleaded guilty to ordering $16 million worth of unnecessary genetic tests and orthotic braces for more than 3,000 patients in a telehealth fraud scheme. 

9. Two Kentucky drug testing labs will pay $1.7 million to settle allegations they billed Medicare and Medicaid for medically unnecessary urine drug tests. 

10. Yale New Haven (Conn.) Health and Northeast Medical Group in Bridgeport, Conn. — a physician and associated provider group affiliated with the health system — agreed to pay $560,718 to resolve allegations they overbilled Medicare and the state of Connecticut.

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