Physician sentenced to 7 years for $24M healthcare fraud 

Advertisement

Queens, N.Y., physician Alexander Baldonado, MD, has been sentenced to seven years in prison for orchestrating a scheme that generated more than $24 million in fraudulent Medicare claims for medically unnecessary laboratory tests and orthotic braces, GMA Integrated News reported Oct. 26. 

What happened?

  • Dr. Baldonado was convicted in February for participating in a kickback scheme in which he accepted illegal cash payments in exchange for approving tests and braces, including at COVID-19 testing events where he ordered cancer genetic tests for patients he never examined or treated.
  • Prosecutors said he also submitted false Medicare claims for office visits that never occurred. Several patients testified that they had never met or spoken with him. Undercover video captured Dr. Baldonado accepting large amounts of cash in return for signing prescriptions for unneeded medical equipment.

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Reconsider What’s Possible: Enterprise RCM and the Pro-Fee Practice

Tuesday, July 28
11:00 AM - 12:00 PM CDT

Presenters: Garett Kreitz, Med-MetrixJohn Stefanowicz, Med-Metrix

Advertisement

Next Up in Legal + Compensation

Advertisement