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Tuesday, April 28, 2026

Healthcare billing fraud: 11 recent cases - Becker's Hospital Review

From a California physician agreeing to pay $23.9 million to settle allegations his practice submitted false claims to Medicare and Medicaid, to two New York pharmacy owners indicted for their alleged participation in a $29 million scheme involving false prescription drug claims, here are 11 healthcare fraud cases Becker's has reported since April 24.

1. Five people, including a West Bloomfield, Mich.-based physician, were charged in an $11 million Medicare fraud scheme.

2. A Michigan podiatrist was sentenced to seven years in prison for a scheme that resulted in nearly $2 million in fraudulent claims being submitted to Medicare.

3. A Texas woman pleaded guilty for her role in a scheme to defraud insurers by accessing private patient information.

4. A North Ridgeville, Ohio, man who owned several marketing companies pleaded guilty to his role in a $24 million healthcare fraud and kickback scheme.

5. Two pharmacy owners in New York were indicted May 2 for their alleged participation in a $29 million scheme involving false prescription drug claims to Medicare and Medicaid, kickbacks and bribes, and laundered proceeds.

6. Two New Jersey physicians and their Montclair-based medical practice agreed to pay $1 million to settle allegations they billed Medicare and Medicaid for unnecessary procedures.

7. A California plastic surgeon will pay $23.9 million to settle allegations his practice submitted false claims to Medicare and Medicaid.

8. A Connecticut physician was sentenced to...



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