Becker's Roundup: Ten Recent Healthcare Billing Fraud Cases
In a roundup of healthcare billing fraud cases, Becker's Hospital Review compiles 10 enforcement actions reported since Oct. 15, spanning Medicaid and Medicare fraud schemes. Highlights include a Virginia mental health executive charged over $49 million in allegedly false Medicaid crisis-service billing, a Negril mental health company's $1.8 million civil settlement with Virginia Medicaid, and an Ohio physician's guilty plea in a $1.6 million Medicaid fraud scheme. The list also covers large Medicare schemes, including a $365 million telehealth and durable medical equipment fraud resulting in a 20-year sentence and a $2 billion multi-defendant DOJ case spanning government and commercial payers. These cases involve a range of providers, from mental health agencies to physicians and DME companies, charged or sentenced between mid- and late October.