From a former Kentucky lawmaker who plead guilty to charges in connection to a $2.7 million fraudulent billing scheme, to a Florida medical biller sentenced to more than five years in prison, here are nine recent healthcare billing fraud cases:
1. Physician-owned hospital pays $1.2M to settle billing fraud claims
Oklahoma Heart Hospital South, a physician-owned hospital based in Oklahoma City, paid $1.2 million to settle billing fraud allegations. The hospital discovered billing irregularities during an internal audit showing the hospital submitted claims for intensive cardiac rehabilitation services for Medicare beneficiaries from June 1, 2013, to May 31, 2019, that didn't comply with Medicare rules.
2. Former Kentucky lawmaker admits healthcare billing fraud
Former Kentucky state Rep. Robert Goforth pleaded guilty in connection to a $2.7 million fraudulent billing scheme. He admitted a pharmacy he owned billed insurance programs, including Medicare and Medicaid, for prescriptions that customers didn't pick up.
3. Texas lab fraud case expands to 24 defendants
Six Texas physicians were added to a lab testing kickback and false claims lawsuit that originally named 18 people, including four former healthcare executives, and two lab companies as defendants. The six new physician defendants, Doyce Cartrett Jr., MD; Elizabeth Seymour, MD; Emmanuel Descant, MD; Frederick Brown, MD; Heriberto Salinas, MD; and Hong Davis, MD, allegedly received more than $860,000 collectively from...
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