1. The former medical director of a Texas hospice company was sentenced to 50 months in prison for his role in a scheme that submitted more than $150 million in false claims to Medicare.
2. An Ohio woman who falsely represented herself as a physician and her physician husband were sentenced for a healthcare scheme that led some patients to believe they had cognitive diseases.
3. A Minnesota psychologist was sentenced to two years in prison for fraudulently billing Blue Cross Blue Shield of Minnesota and the Shakopee Mdewakanton Sioux Community for over $800,000.
4. The owner of two telemedicine companies pleaded guilty to his role in a $44 million fraud scheme involving medically unnecessary durable medical equipment.
5. A Charlotte, N.C., physician was found guilty of making false statements in connection with a scheme that defrauded federal benefits programs of more than $5 million.
6. The Justice Department has obtained $372 million in judgments against Kentucky businessman Rajen Shah and his companies for a laboratory testing scheme that targeted Medicare.
7. A medical equipment provider was ordered to pay $12 million in damages and penalties after being found liable in a Medicare fraud scheme.
8. A New York City physician agreed to pay $1.3 million to settle allegations he overbilled Medicare for services provided to nursing home residents.
9. A Florida nurse practitioner was convicted in a $200 million Medicare fraud scheme.
10. A New York cardiologist agreed to pay $6.5 million and relinquish his practice to settle allegations he paid millions of dollars in kickbacks for patient referrals.
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.
