8 healthcare fraud cases to know

Here are eight healthcare fraud cases for leaders to know from the last 30 days: 

1. A federal grand jury indicted an Indianapolis woman on several counts of fraud and identity theft in connection with the theft of a stolen LPN license used to obtain jobs at three nursing homes.

2. Brian Gullett, DO, was sentenced to six months in prison, followed by one year of supervised release, and was fined $5,000 for aiding and abetting obtaining a controlled substance by fraud. 

3. James Ellner, MD, and his practice and ASC will pay $625,000 to resolve whistleblower allegations that they violated the False Claims Act. 

4. A Florida business owner was sentenced to 65 months in prison for a Medicare fraud scheme involving back, knee and wrist braces. 

5. Former New Hampshire physician Steven Powell, MD, pleaded guilty to healthcare fraud for his role in a $1.9 million Medicare fraud scheme. 

6. Ohio physician Jeffrey Sutton, MD, was sentenced to six years in prison after pleading guilty to healthcare fraud and illegally prescribing controlled substances.

7. Pennsylvania clinic executive Florentina Mayko was charged with conspiracy to commit healthcare fraud for allegedly billing Medicare for $10 million worth of medically unnecessary urine drug tests. 

8. Overland Park, Kan.-based emergency room physician Gautam Jayaswal, MD, pleaded guilty to ordering millions of dollars' worth of unnecessary genetic tests and orthotic braces as a part of a telemedicine fraud scheme. 

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

 

Featured Webinars

Featured Whitepapers

Featured Podcast