- Registered Nurse and Nurse Practitioner in Rhode Island sentenced for $12M in fraudulent billing scheme
- Two California physicians ordered to pay more than $2.4M for kickbacks
- The University of Washington and other public hospitals routinely settle medical malpractice cases with NDAs. Some legal experts say that needs to stop.
- Former pharmacy owner sentence for role in $11.5M Medicaid fraud scheme
- New York physician pleaded guilty for ordering medically unnecessary brain scans
- New Jersey cardiologists sentenced to nearly 3 years for $1.9M in fraudulent claims
- Michigan pharmacist and brother convicted in $15M billing scheme
- Tennessee pharmacy owners indicted for $8.7M in fraud
- Texas physician gets 10 years in prison for $54M Medicare fraud
- New York doctor pleads guilty to $900K fraud scheme
- Arizona physician sentenced to 2 years for $3.7M in fraud
- Dallas pharmacy owner convicted in $41M fraud scheme
- Hospital upcoding is big business
- Study: Upcoding associated with $14.6B in hospital payments in 2019
- Penn State Health ordered to pay $11.7M to resolve allegations of improper Medicare billing
- New York-Presbyterian Hospital agreed to $800K fine for improper radiology billing
- Cape Cod Hospital paid $24.3M to settle claims it had violated Medicare reimbursement protocols in whistleblower case
- Oroville Hospital in California paid $10.25M to settle kickbacks and false billing allegations
- San Diego physician and medical practice pay $3.8M to settle false claim allegations
- San Diego neurosurgeon charged in $100M insurance fraud case
- 2 charged in $54M Medicare fraud scheme in California
- Louisiana physician indicted in $32.7M Medicare billing scheme
- Texas behavioral health provider indicted for $2M Medicaid fraud
- Delaware physician agrees to pay $1M to settle allegations of ordering medically unnecessary durable medical equipment
- CEO of Massachusetts-based behavioral health company pleads guilty to fraud
- Louisiana lab CFO sentenced for $127M Medicare fraud scheme
- California physician sentenced for $2.8M Medicare fraud scheme
- Montana-based St. Peter’s Health to pay $10.8M to resolve false claims for oncology services
- Ohio physician sentenced for defrauding Medicare and Tricare for $14.6M
- Connecticut therapist pleads guilty to $1.6M in Medicaid fraud
- Kentucky physician sentenced to two years in $14M fraud conviction
- California physician pleads guilty to $3.2M Medicare fraud
- Texas behavioral health providers pay $1.1M to settle Medicare false claims charges
- University of Colorado Health agrees to pay $23M to settle upcoding allegations
- Alaska physician and husband charged with $10M in fraud and tax evasion
- Former Georgia Insurance Commissioner sentenced to more than 3 years for billing insurers over $2.5M in false claims
- Illinois physician pleads guilty to fraud
- Tennessee podiatrist sentenced for defrauding Medicare and Medicaid $4M in reimbursements
- Two New York pharmacy owners sentenced to 14 collective years in $18M Medicare laundering case
- Baylor agrees to pay $15M to settle concurrent billing allegations
- Texas physician convicted in $70M fraud scheme
- Illinois physician sentenced to eight years for more than $1.2M in Medicaid fraud
- California pharmacist sentenced to two years for billing more than $1M in fraudulent claims
- Alabama physician and wife plead guilty to $2.3M fraud scheme
- Massachusetts psychiatrist sentenced in $19M Medicare and insurance fraud scheme
- Twin physicians plead guilty to defrauding payers millions in fraudulent billing
- Massachusetts orthopedic surgeon convicted for role in upcoding scheme
- Arizona physician pleads guilty to $3.7M fraud scheme
- New York/New Jersey pharmacy leaders admit to defrauding payers more than $65M
- Former clinic owner in California convicted for submitting more than $5M in fraudulent claims
- New Jersey counseling center owner pleads guilty to billing insurers for services never provided
- Houston pharmacy CEO convicted for fraudulently billing payers $160M for expensive topical creams
