From HCA Healthcare defeating billing fraud allegations to Geisinger paying $18.5 million to settle allegations of fraudulent billing, here are nine cases that have made headlines since Nov. 1:
1. Illinois hospital to pay $292K to settle allegations it kept overpayments from insurers
Gibson Area Hospital in Gibson City, Ill., will pay $292,000 to resolve allegations that it failed to return overpayments from government insurers in violation of the False Claims Act.
2. Florida pharmacy owner found guilty of running $174M telehealth fraud scheme
A federal jury has convicted Tampa, Fla., pharmacy owner Peter Bolos, 44, for his role in running an $174 million telehealth fraud scheme that resulted in thousands of false claim submissions.
3. 2 physicians, 1 nurse sentenced in $40M fraud scheme
Two physicians were sentenced to a combined 23 years in prison Dec. 2 for their roles in a hospice agency scam that defrauded Medicare and Medicaid, the Justice Department said. A nurse at the hospice was also sentenced to more than two years in prison. According to prosecutors, the defendants defrauded government insurers by admitting patients who were not appropriate for hospice care and submitting false claims for services.
4. Texas hospital will pay $18.2M to settle false claims case
Flower Mound (Texas) Hospital has agreed to pay $18.2 million to resolve allegations that it violated the False Claims Act by submitting claims to government payers that resulted from violations of the...
WASHINGTON — The U.S. Department of Justice has announced what officials describe as the largest coordinated health care fraud enforcement action in American history, charging 455 individuals in s...