$100M+ healthcare fraud: 6 cases in 2020

The previous leader of a rural health center chain and nine others were charged previously this year in a $1.4 billion billing scheme. That case was among numerous prosecutors brought this year alleging scams plans of $100 million or more..

Here are six cases including alleged fraud schemes of $100 million or more that were brought or fixed this year..

1. Michael Ligotti, DO, a doctor in Delray Beach, Fla., was charged in August for allegedly participating in a $681 million healthcare fraud plan that included billing for deceitful tests and treatments. Dr. Ligotti apparently functioned as the medical director for more than 50 dependency treatment facilities and signed more than 135 standing orders authorizing fraudulent tests. In exchange for his signature on the standing orders, he allegedly required the treatment focuses to have their clients treated at a clinic he owned. Some clients were supposedly charged between $10,000 and $20,000 by Dr. Ligotti and the center for one visit..

2. A Texas anesthesiologist convicted in a $200 million healthcare fraud plan was sentenced to 5 and a half years in prison in August. Richard Ferdinand Toussaint Jr., MD, also was bought to pay more than $82.9 million in restitution. He pleaded guilty to the scheme in March 2018.

3. A California surgeon and five others were charged in July with performing a sophisticated $600 million insurance scams plan. Randy Rosen, MD, his girlfriend and four others were supposedly involved in a fraud scheme that included employing body brokers to pay patients at sober living houses to go through clinically unneeded surgical treatments. He is likewise implicated of requiring patients to go through unneeded drug tests, which he sent out to a laboratory owned by his sweetheart..

An indictment unsealed June 29 alleges Jorge Perez and 9 others billed personal insurance business about $1.4 billion for lab claims as part of a billing plan from November 2015 through February 2018. The offenders were presumably paid $400 million for the claims.

5. Francisco Patino, MD, a physician in Michigan, was charged Feb. 26 in a $120 million healthcare fraud and cash laundering scheme that presumably included the unlawful distribution of regulated compounds and unneeded injections that triggered patient damage.

6. Jorge Zamora-Quezada, MD, a Texas physician, was found guilty Jan. 15 for his function in a $325 million health care scams scheme that included incorrectly identifying patients with different degenerative diseases and after that administering chemotherapy and other poisonous drugs to clients based upon the incorrect medical diagnoses. After a 25-day trial, Dr. Zamora-Quezada was convicted of one count of conspiracy to devote healthcare scams, seven counts of health care fraud and one count of conspiracy to obstruct justice.

Michael Ligotti, DO, a doctor in Delray Beach, Fla., was charged in August for presumably participating in a $681 million health care scams scheme that included billing for deceitful tests and treatments. A Texas anesthesiologist convicted in a $200 million health care fraud plan was sentenced to 5 and a half years in jail in August. A California surgeon and 5 others were charged in July with bring out an intricate $600 million insurance fraud scheme. Randy Rosen, MD, his sweetheart and four others were supposedly involved in a fraud plan that involved employing body brokers to pay patients at sober living homes to undergo medically unneeded surgical treatments. Jorge Zamora-Quezada, MD, a Texas doctor, was discovered guilty Jan. 15 for his function in a $325 million healthcare fraud scheme that involved incorrectly diagnosing patients with different degenerative illness and then administering chemotherapy and other poisonous drugs to clients based on the false diagnoses.

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