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181. Physician, office manager charged in $1.3M fraud scheme
Las Vegas-based physician and practice owner Kofi Sarfo, MD, and his wife and office manager, Rose Sarfo, have been charged in a $1.3 million COVID-19 relief fraud scheme. Dr. and Ms. Sarfo allegedly ...20 July 2023 -
182. 16 physician kickback suits totaling $180M+ in 2023
Here are 16 physician kickback suits Becker's has reported on in 2023 that totaled more than $180 million in either restitution or cost of the fraud scheme: 1. David Copeland, part owner and sales ...19 July 2023 -
183. North Carolina physician sentenced to 25 years in prison for reusing single-use medical devices
Raleigh, N.C.-based otolaryngologist Anita Louise Jackson, MD, has been sentenced to 25 years in prison after a jury found her guilty of 20 criminal charges, including reusing single-use surgical devices ...17 July 2023 -
184. California physician, practice to pay $11.4M fraud settlement: 5 details
Sacramento, Calif.-based Lags Spine & Sports Center along with its owner and medical director will pay millions of dollars to resolve false claims allegations, according to a Justice Department news release. ...13 July 2023 -
185. Medtronic's $60M in fraud, kickback settlements: A timeline
... 2011: Medtronic paid $23.5 million to settle physician kickback claims. 2015: A Medtronic affiliate, ev3, paid $1.25 million to resolve false claims allegations that it led to the unnecessary admission ...12 July 2023 -
186. 5 physician kickback cases in June
Here are five physician kickback cases Becker's reported on in June: 1. Eleven people were indicted in a $2 billion telemedicine fraud scheme focused on orthotic braces and pain creams. The CEO and ...10 July 2023 -
187. Illinois physician fined $1M for fraud scheme
Hinsdale, Ill.-based physician John Greager, MD, has been sentenced to 6 months in prison and fined $1 million for submitting fraudulent claims to Medicare and a private payer. From 2015 to 2021, ...06 July 2023 -
188. 2 physicians accuse HCA Healthcare of fraud, overbilling
Two physicians have accused HCA Healthcare and TeamHealth of defrauding government programs by overcharging for care, according to a June 28 report from Medscape. The lawsuit was originally filed in ...29 June 2023 -
189. Former Pennsylvania PA charged with $40K+ in Medicare fraud
Former Altoona, Pa.-based physician assistant Jennifer Batrus was charged for her role in a $40,000 Medicaid fraud scheme, WTAJ reported June 27. Ms. Batrus is accused of abusing COVID-19 telehealth ...28 June 2023 -
190. 5 antikickback suits to know
... False Claims Act by providing kickbacks to referring physicians. 3. A former New Hampshire physician pleaded guilty to healthcare fraud for his role in a $1.9 million Medicare fraud scheme. Steven Powell, ...15 June 2023 -
191. Physician indicted in $4M+ Medicare fraud scheme
Physician David Becerril, MD, has been charged with 16 counts for his role in a telemarketing scheme that allegedly defrauded Medicare of more than $4 million. Dr. Becerril, who formerly practiced ...13 June 2023 -
192. Colorado physician sentenced to 2+ years for stealing $250K in COVID-19 relief funds
... were meant to provide financial assistance to providers affected by the pandemic. He used these funds for personal expenses instead, according to the Justice Department. The physician was convicted ...02 June 2023 -
193. Pain management ASC, physician to pay $625K to resolve fraud allegations
James Ellner, MD, and his practice and ASC will pay $625,000 to resolve whistleblower allegations that they violated the False Claims Act. Between May 1, 2015, and Dec. 31, 2019, Dr. Ellner and his ...30 May 2023 -
194. West Virginia physician sentenced for overprescription
... medical chart did not support the prescriptions. He was initially indicted in 2018 along with the owners, managers and other physicians associated with the clinic. Dr. Gullett was sentenced to si ...30 May 2023 -
195. Texas physician sentenced for overprescribing opioids
Denton, Texas-based family medicine physician Stanley Charles Evans, MD, has been sentenced to 40 months in prison for overprescribing opioids, the Justice Department said May 19. Beginning in 2017, ...22 May 2023 -
196. Aetna in the headlines: 24 updates in 60 days
... patients. Aetna Better Health of Maryland is partnering with digital health company Mae on improving maternal healthcare for Black women. A former physician and his ASC company were sentenced to seven ...11 May 2023 -
197. Kansas physician pleads guilty to defrauding Medicare of $16M
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 ...10 May 2023 -
198. Physician group, health system to pay $500K to settle fraud allegations
Bridgeport, Conn.-based physician group Northeast Medical Group and Yale New Haven (Conn.) Health Services will pay $560,718 to resolve allegations they submitted false claims to Medicare. Between ...09 May 2023 -
199. Physician sentenced for billing Medicare $1.8M under false identity
... physician's name, the U.S. Justice Department said May 4. Dr. Mitchell owned and operated a podiatry practice specializing in foot care for residents of adult foster homes. Dr. Mitchell's privileges ...05 May 2023 -
200. 6 physician fraud suits in April
Here are six physician fraud cases Becker's has reported on in April: Cedar Grove, N.J.-based Muhammad Mirza, MD, pleaded guilty to defrauding Amtrak's health plan $1.4 million through submitting bills ...02 May 2023