From a Florida brokerage firm pleading guilty to an ACA enrollment fraud scheme to a Texas durable medical equipment owner sentenced to prison for a $61.5 million scheme, here are eight healthcare billing fraud cases Becker’s has reported since March 30.
1. A New York City anesthesiologist who founded a chain of COVID-19 testing clinics pleaded guilty to fraudulently billing insurance companies for services never rendered, causing at least $24 million in losses.
2. A physician in Slidell, La., was sentenced to probation for a $6.6 million scheme to bill Medicare for medically unnecessary tests.
3. Four Washington state sleep diagnostic centers are closing following the sentencing of their physician owner on federal fraud charges.
4. AP of South Florida, a Florida-based insurance brokerage, agreed to plead guilty to one count of major fraud against the U.S. for its role in a fraudulent ACA enrollment scheme. In a parallel civil resolution, AssuredPartners, a national brokerage firm that was APSF’s then-parent company, agreed to pay $107 million to resolve False Claims Act allegations. Combined, the resolutions exceed $135 million.
5. Eight defendants, including three nurses, a chiropractor and a purported psychologist, were arrested on federal charges alleging they participated in a scheme to defraud the healthcare system out of more than $50 million.
6. An Atlanta-based urology practice and its physician owner agreed to pay $14 million to resolve False Claims Act allegations of billing federal healthcare programs for medically unnecessary and unperformed procedures.
7. The owner of a Fort Lauderdale, Fla.-based telemedicine company pleaded guilty to organizing and leading a $46.2 million Medicare fraud conspiracy.
8. The owner and operator of seven durable medical equipment supply companies was sentenced to 150 months in prison for organizing and leading a $61.5 million healthcare fraud conspiracy involving thousands of Medicare beneficiaries.
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