Becker's Healthcare December 30, 2024
From a judge sentencing four people for their roles in a $54.3 million scheme to a Medicare Advantage insurer agreeing to pay up to $98 million to settle allegations of knowingly submitting invalid diagnoses, here are 10 healthcare billing fraud cases that Becker’s has reported since Dec. 6:
1. Philip Hall, a 48-year-old pharmacist of Jamestown, Tenn., was charged with six counts of aggravated identity theft and nine counts of healthcare fraud.
2. Sixteen different cardiology practices and associated physicians across 12 states agreed to pay a combined $17.7 million to settle allegations of overbilling Medicare for diagnostic radiopharmaceuticals.
3. Independent Health will pay up to $98 million to settle allegations a now-defunct subsidiary knowingly submitted invalid diagnoses...
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