Physicians and fraud: 4 cases in September

Here are four cases of physicians committing or accused of fraud that Becker's has reported since Sept. 6:

1. Chicago-based physician Benjamin Toh, MD, was convicted for his role in a more than $9.5 million healthcare fraud scheme. Dr. Toh worked with telemedicine companies to obtain access to Medicare and Medicaid patients and submitted more than $9.5 million in fraudulent claims for cancer genetic tests. He was convicted of conspiracy to violate the federal Anti-Kickback Statute.

2. Morgantown, W.Va.-based physician David Anderson, MD, was charged with filing a false tax return. Dr. Anderson allegedly understated his taxable income on his tax return.

3. Joplin, Mo.-based pain management physician Heather Stelling, MD, was convicted of healthcare fraud and must pay $146,026 to Medicare and Medicaid. Dr. Stelling had her license suspended in 2018 after she failed to file or pay any state income taxes for three years but billed Medicare and Medicaid for services while her license was suspended and falsely claimed dates of services outside that period of suspension. 

4. New York-based physician Arun Arora, MD, will pay $1.3 million to settle claims he violated the False Claims Act. From 2019 to 2023, Dr. Arora, who provided care to nursing home residents, allegedly billed for critical care services when he was providing routine care.

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