Healthcare billing fraud: 10 recent cases 

Here are 10 healthcare billing fraud cases that Becker’s has reported since July 17:

1. A Maryland physician and his practice were ordered to pay $1.4 million for fraudulently billing Medicare.

2. A Houston physician agreed to pay more than $2 million to resolve allegations that he submitted fraudulent claims to federally funded healthcare programs for implantation of neurostimulator electrodes.

3. Two individuals pleaded guilty to a multi-year fraud scheme that used data stolen from hospital patients to file false claims for pandemic-related relief funds.

4. The CEO and medical director of Fast Lab Technologies were charged with allegedly orchestrating a $500 million scheme to defraud Medicare, Medicaid, TriCare and other insurers by billing for COVID-19 testing services that were never provided. 

5. Two individuals, the former CEO of two El Paso, Texas-based long-term acute care hospitals and the owner of one of them, voluntarily surrendered to the FBI after they were formally indicted on charges of wire fraud involving healthcare billing.

6. A federal jury convicted a nurse practitioner for her role in a $12.1 scheme to defraud Medicare by ordering medically unnecessary cancer genetic tests for hundreds of patients she never met or examined.

7. A Florida man was sentenced to 17½ years in prison for his role in a fraud scheme that submitted more than $10.8 million in fraudulent claims for durable medical equipment to Medicare.

8. A physician in Kingsport, Tenn.,was accused of healthcare benefit fraud, making false statements and unlawfully distributing controlled substances

9. An internist in Fair Lawn, N.J., was charged with unlawfully distributing opioids, soliciting sexual favors from patients and defrauding New Jersey Medicaid.

10. A Las Vegas nurse practitioner pleaded guilty to participating in a healthcare fraud scheme involving medically unnecessary amniotic wound allografts in exchange for kickbacks

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