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101. Physicians under arrest: 5 criminal cases in 2 weeks
Here are five physicians who have been arrested or charged with crimes, pleaded guilty or been sentenced recently, as reported by Becker's since Feb. 23: 1. Thomas Webster, MD, pleaded guilty to accepting ...04 March 2024 -
102. The hospitals, health systems facing multimillion-dollar Stark law penalties
The federal government continues to stress that improper financial arrangements between hospitals and physicians can "compromise medical judgment and threaten the integrity of federal healthcare programs," ...04 March 2024 -
103. Medical equipment company owner pleads guilty to $3.6M kickback scheme
... and bribes in exchange for providing durable medical equipment companies with completed physician's orders for medically unnecessary medical equipment, according to a March 1 news release from the Justice ...04 March 2024 -
104. Physician pleads guilty to role in $13.7M fraud scheme
A physician has pleaded guilty to accepting kickbacks through a fraudulent telemarketing and medical supply scheme throughout Washington. From May 2021 to September 2023, Thomas Andrew Webster, MD, ...04 March 2024 -
105. 4 physician fraud schemes in 2 weeks
Here are four fraud cases involving physicians that Becker's has reported on since Feb. 12: 1. A gastroenterologist in Wheeling, W.Va., has been indicted on charges of tax fraud and obstructing justice ...01 March 2024 -
106. 4 gastroenterologists in the headlines
Here are four gastroenterologists Becker's has reported on since Feb. 15: 1. Nitesh Ratnakar, MD, a gastroenterologist in Wheeling, W.Va., has been indicted on charges of tax fraud and obstructing ...26 February 2024 -
107. Physician charged in $20.7M kickback scheme
A New York City physician was charged for allegedly engaging in a $20.7 million healthcare fraud and illegal kickback scheme. Alexander Baldonado, MD, allegedly received cash kickbacks from a laboratory ...23 February 2024 -
108. Physician convicted in $2.8M Medicare scheme
A California physician was convicted for his role in a scheme that defrauded Medicare of more than $2.8 million. While serving as medical director of several hospice companies from October 2014 to ...19 February 2024 -
109. 3 physician kickback schemes in 3 weeks
Here are three kickback schemes where physicians settled or pleaded guilty that Becker's has reported on since Jan. 30: 1. A Kentucky physician pleaded guilty to a $14 million Medicare fraud scheme ...15 February 2024 -
110. Kentucky physician pleads guilty to $14M fraud scheme
A Kentucky physician has pleaded guilty to a $14 million Medicare fraud scheme in which he accepted kickbacks for medically unnecessary equipment and tests, the Lexington Herald-Leader reported Feb. 12. ...12 February 2024 -
111. Physicians and fraud: 5 cases to know
Here are seven physicians who have been involved or are allegedly involved in five healthcare fraud cases reported by Becker's since Jan. 30: 1. William McMiller, MD, a Chicago psychiatrist, was found ...07 February 2024 -
112. Man who impersonated NBA player as part of $336M fraud scheme sentenced to prison
... 54, of East Northport, operated companies providing billing services to physicians throughout the U.S. as a third-party medical biller, according to a Feb. 2 news release from the Justice Department. Mr. ...05 February 2024 -
113. Missouri physician pleads guilty in $1.4M fraud scheme
A physician in St. Peters, Mo., pleaded guilty to his role in a conspiracy to make false statements resulting in more than $1.4 million in Medicare and Medicaid fraud. Romel Izquierdo-Malon, MD, entered ...05 February 2024 -
114. From Denial to Approval: Winning More Prior Authorizations Starts with Tech-Driven Strategies
... payer. Track the time it takes to receive each prior authorization, then apply staff and physician salary to that time. Add this amount to all other expenses associated with a case to give you the true ...05 February 2024 -
115. 11 healthcare legal cases making headlines
... six pharmacies in Southern California in which they targeted patients and billed for fraudulent prescriptions. 2. Two physicians, along with two other individuals, were indicted by a grand jury on charges ...02 February 2024 -
116. 15 sentenced in $40M fraud, physician kickback scheme
... prescriptions, which were then signed by physicians who received thousands of dollars in kickbacks. The physicians rarely met with or spoke to the patients, the release said. At least five insurance ...01 February 2024 -
117. Physician to pay $95K to settle kickback allegations
A Washington physician agreed to pay $95,000 to resolve allegations that he participated in a scheme in which he ordered medically unnecessary durable medical equipment for kickbacks. Between October ...30 January 2024 -
118. Texas physician assistant guilty of amniotic fluid scam
A physician assistant has been convicted of 12 counts of healthcare fraud for injecting amniotic fluid into patients in an attempt to manage pain. Fort Worth, Texas-based physician assistant Ray Shoulders, ...30 January 2024 -
119. What every physician should know about Stark law
Many physicians have experienced challenges stemming from Stark law, which bans them from making referrals for Medicare-payable health services if the physician or immediate family member has a financial ...18 January 2024 -
120. Physician, health system to pay $430K to settle fraud allegations
Ashland, Ore.-based Asante Health System and one of its physicians have agreed to pay $430,000 to settle allegations that they knowingly submitted false claims for cardiothoracic surgeries to federal health ...16 January 2024