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201. 7 whistleblower suits in 2023
... Ill.-based physician Ajibola Ayeni, MD, for allegedly violating the False Claims Act more than 4,000 times. In March, a chief U.S. district judge granted summary judgment to the government in the case. ...28 April 2023 -
202. Reimbursements remain low while costs keep climbing: 43 healthcare leaders share their biggest concerns regarding procedure reimbursements
Rising staffing and supply costs and a low reimbursement rate from CMS are some of the biggest concerns physicians have surrounding procedure reimbursements. As part of an ongoing series, Becker' ...28 April 2023 -
203. New Jersey physician pleads guilty for defrauding Amtrak of $1.4M
Cedar Grove, N.J.-based Muhammad Mirza, MD, pleaded guilty to defrauding Amtrak's health plan $1.4 million through submitting bills for procedures that were never performed or were not medically necessary, ...27 April 2023 -
204. California physician charged with pandemic-related fraud
Anthony Dinh, MD, has been charged with committing multiple fraud schemes that resulted in false billings to federal programs and theft from federally funded pandemic programs, the Daily Pilot reported ...20 April 2023 -
205. $427M+ in physician fraud suits in 2 weeks
Becker's has reported on four physician fraud cases totaling more than $427 million in the last two weeks: A former physician and his ASC company were sentenced to seven years in prison and five years ...20 April 2023 -
206. Former surgeon gets 7 years prison, ASC company gets 5 years probation for $355M fraud
A former physician and his ASC company were sentenced to seven years in prison and five years of probation, respectively, for a scheme to defraud private insurers and the Tricare program by submitting ...19 April 2023 -
207. Former physician assistant sentenced for practicing illegally for 2nd time
Theresa Pickering was sentenced to prison and ordered to pay restitution for posing as a licensed physician assistant at a family practice in Georgia. This is her second conviction for fraudulently practicing. ...19 April 2023 -
208. States disciplining physicians: 6 updates
The following are six updates in states that have punished physicians by suspending or restricting their medical licenses for misconduct, as covered by Becker's since March 28: Ndubuisi Joseph Okafor, ...18 April 2023 -
209. Arkansas physician pleads guilty to $12M fraud scheme
Alexander, Ark.-based physician Joe David May, MD, has pleaded guilty to 102 months in prison for his role in a $12 million scheme to defraud Tricare, the Justice Department said April 13. Dr. May ...17 April 2023 -
210. Becker's ASC Review E-Newsletter - 2016-2021
... replacement | EmergeOrtho sets sights on expansion December 28, 2021 10 highest-paying physician employer types | 258 new ASCs by specialty | J&J wants $2.4M from surgeons after failed whistleblower ...11 April 2023 -
211. Missouri physician pleads guilty to $144K+ healthcare fraud
Howard Jackson, DPM, who practiced in East St. Louis, Ill., pleaded guilty to a $144,694 healthcare fraud scheme, the Justice Department said April 7. From January 2016 to December 2020, Dr. Jackson, ...10 April 2023 -
212. Florida physician involved in $60M fraud scheme forfeits license
Bal Harbour, Fla.-based physician Drew Lieberman has forfeited his medical license after serving time for his role in a $60 million fraud scheme, the Miami Herald reported April 10. Mr. Lieberman ...10 April 2023 -
213. February 2023 Issue of Becker's ASC Review
... faced opposition in 2022: SCA Health has 9,200 physicians SCA Health, based in Deerfield, Ill., has grown over the last few years to include hundreds of surgery centers and thousands of physicians ...10 April 2023 -
214. 11 physician fraud suits in March
Here are 11 fraud suits involving physicians that Becker's reported on in March: Former physician Jeffrey Campbell and nurse practitioner Mark Dyer were sentenced to prison following conviction on committing ...04 April 2023 -
215. Kentucky physician, nurse practitioner sentenced for fraud, illegal controlled substance distribution
Former physician Jeffrey Campbell and nurse practitioner Mark Dyer have been sentenced to prison following conviction on committing healthcare fraud, money laundering and unlawfully distributing controlled ...31 March 2023 -
216. Illinois physician to pay $25M+ for 4K false claims violations
Matteson, Ill.-based physician Ajibola Ayeni, MD, has been ordered to pay more than $25 million for more than 4,000 violations of the False Claims Act, the Justice Department said March 28. Dr. Ayeni ...30 March 2023 -
217. Tennessee physician found guilty on 45 counts of controlled substance distribution
Gilbert Ghearing, MD, a former physician based in Crossville, Tenn., was found guilty on 45 counts related to the Controlled Substance Act, healthcare fraud and obstruction of justice, the Justice Department ...29 March 2023 -
218. California Navy physician pleads guilty to $2M kickback scheme
Michael Villarroel, MD, a U.S. Navy physician, pleaded guilty to a scheme where he defrauded the Navy by faking or exaggerating injuries to get reimbursements intended to help service members recovering ...29 March 2023 -
219. New Jersey physician pleads guilty to $5M fraud scheme
Margate, N.J.-based Brian Sokalsky, DO, pleaded guilty for his role in a $5 million scheme to defraud payers by submitting claims for medically unnecessary prescriptions, the Justice Department said March ...28 March 2023 -
220. Another New York physician on trial for murder by overprescribing opioids
New York physician Sudipt Deshmukh, MD, is facing a manslaughter charge in a patient's opioid overdose death, the Rochester Beacon reported March 23. Dr. Deshmukh, a primary care physician, allegedly ...24 March 2023