From false Medicare claims to improper and reckless medical billing, here are 14 major False Claims Act settlements in 2022 and the first week of 2023.
1. In April, a physician paid $40,800 to resolve allegations that he accepted consultation fees for ordering medical equipment and creams for patients he was not a care provider for.
2. In April, two Tampa-based physicians paid $24.5 million for allegedly billing federal healthcare for unnecessary medical tests and services.
3. In April, a Michigan-based physician paid $775,000 to resolve allegations that he performed medically unnecessary surgeries and submitted false claims.
4. In April, a New York city surgeon and two urgent care facilities paid $564,217 to settle allegations they submitted false medical claims for patients who had only come in for COVID-19 tests.
5. In May, an Oklahoma hospital paid $1.2 million for submitting intensive cardiac surgery claims to Medicare without physician's completed plans and signatures.
6. In June, a New York physician paid $602,662.61 to resolve allegations that he billed CMS for procedures he did not perform.
7. In August, a New York-based neurology practice paid $850,000 for improper and reckless billing.
8. In August, a Maryland anesthesiologist and pain management practice paid $980,000 to resolve allegations of submitting medically unnecessary urine tests.
9. In September, an ophthalmologist and ophthalmology practice paid $907,075 to resolve allegations of submitting false claims to Medicare and Medicaid.
10. In September, pharmaceutical company Biogen paid $900 million to resolve allegations it paid kickbacks to physicians for prescribing Biogen medications.
11. In January, a Texas podiatrist paid $90,000 to resolve allegations he submitted false claims to Medicare for surgical implants.
12. In January, a Kentucky heart physician paid $931,500 to settle allegations that he referred patients for genetic testing to receive $335,700 in kickbacks.
13. In January, medical device distributor Jet Medical paid the U.S. government $200,000 to resolve misbranding allegations.
14. In January, an Arkansas cardiologist agreed to pay $900,000 to resolve claims he submitted to Medicare for unnecessary cardiac stents.