A Louisiana physician was convicted for conspiring to illegally distribute more than 1.8 million opioids and defrauding healthcare benefit programs of more than $5.4 million.
Legal & Regulatory Issues
From the conviction of a home health company owner in a $100 million scheme, to the sentencing of a former Georgia insurance commissioner on a conspiracy charge, here are 10 healthcare billing fraud cases Becker's has reported since July 11:
A Louisiana nursing home owner who sent more than 800 residents to a warehouse during Hurricane Ida in 2021 will only serve three years of probation, The New York Times reported July 22.
Texas Children's Hospital in Houston is being investigated by state and federal officials for allegedly illegally billing Medicaid for transgender care, the Houston Chronicle reported July 22.
The part owner and operator of a home health company was convicted for her role in a $100 million Medicaid fraud scheme.
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Catherine Leavy, 37, was sentenced in federal court for calling in a hoax bomb threat against Boston Children's Hospital in 2022.
Pennsylvania Gov. Josh Shapiro has signed legislation that increases oversight of pharmacy benefit managers.
An Ohio physician was sentenced to 26 months in prison for her role in a scheme that billed Medicare more than $8 million for orthotic devices that were not medically necessary.
A former nurse at WellSpan Chambersburg (Pa.) Hospital has been accused of falsifying medical information following a patient's death, court documents show.
A Whitefish, Mont. physician pleaded guilty to fraudulently billing Medicare and other healthcare programs in a $39 million telemedicine fraud scheme.