A Florida insurance brokerage executive was sentenced to prison for his role in a $133 million scheme and a healthcare software company CEO was sentenced to prison for his role in a $1 billion scheme. Here are 10 healthcare billing fraud cases that Becker’s has reported since Dec. 15:
1. An Oklahoma chiropractor and medical supply company owner were indicted for allegedly submitting $30 million in false claims to federal healthcare programs and misusing COVID-19 relief funds for a fraud scheme involving physician kickbacks.
2. As Minnesota faces scrutiny over fraud in its public assistance programs, the state is planning to freeze provider enrollment across 13 Medicaid services.
3. A Florida insurance brokerage executive will serve nearly three years in prison for participating in a $133 million ACA fraud scheme.
4. Memphis-based physician Sanjeev Kumar was convicted on 40 criminal counts of healthcare fraud and improper reuse of medical devices
5. New York City-based New York-Presbyterian Hudson Valley Hospital will pay $6.8 million to resolve allegations that it improperly paid a Westchester, N.Y.-based oncology practice to induce referrals later billed to Medicare and Medicaid.
6.The CEO of a healthcare software companywas sentenced to 15 years in federal prison and ordered to pay more than $452 million in restitution for orchestrating a telemedicine fraud scheme that led to more than $1 billion in false claims to Medicare and other federal healthcare programs.
7. Austin, Texas-based Advanced Pain Care and its founder Mark Malone, MD, agreed to pay $13.6 million to resolve allegations of submitting false claims to federal and state healthcare programs for urine drug testing.
8. A federal grand jury indicted California-based Done Global and Florida-based Mindful Mental Wellness for their alleged roles in a scheme to illegally distribute Adderall and commit healthcare fraud.
9. A Missouri man was sentenced to 10 years in prison for orchestrating a Medicare fraud scheme that generated more than $174 million in genetic testing claims.
10. A New York physician was sentenced to seven years in prison for his role in a scheme that resulted in more than $24 million in fraudulent claims to Medicare.
