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Health Populi December 18, 2024
Healthcare billing fraud: 10 recent cases – 2
Becker's Healthcare June 3, 2024
From a Massachussettes hospital settling allegations it knowingly billed for procedures that didn’t follow Medicare rules to the conviction of a Texas physician in a $70 million scheme, here are 10 healthcare billing fraud cases Becker’s has reported since May 10:
1. DuBois, Pa.-based Penn Highlands Healthcare agreed to pay the federal government $735,000 to resolve a whistleblower suit alleging Physician Self-Referral Law violations from claims submitted to Medicare and Medicaid.
2. A Fredericksburg, Texas physician was convicted for causing the submission of more than $70 million in fraudulent claims to Medicare for medically unnecessary orthotic braces and genetic tests ordered through a telemarketing scheme.
3. A physician was convicted by a Nevada federal jury for his role in a...
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