Becker's Roundup: 10 Healthcare Billing Fraud Cases Since Sept. 17
In a healthcare fraud roundup, Becker's Hospital Review compiles 10 recent billing fraud cases it has reported since Sept. 17, including an Arizona addiction treatment clinic owner sentenced to 14 years for a $69 million Medicaid fraud scheme and a Maryland CEO indicted over more than $100 million in at-home COVID-19 test billing. Other cases span Medicare telemedicine and kickback schemes, durable medical equipment fraud, a chiropractor's $30 million DME billing scheme, and Independence Blue Cross's $22.5 million settlement over inflated Medicare Advantage diagnosis coding. Defendants include physicians, a psychiatrist, a counselor, and clinic owners facing prison sentences, indictments, convictions, and settlements. The cases illustrate ongoing federal enforcement across Medicaid, Medicare, and Tricare billing fraud.