Healthcare billing fraud: 9 latest lawsuits, settlements

From an immediate care network paying $12.5 million to solve overbilling claims to a Florida doctor pleading guilty to sending $20 million in fraudulent claims, here are the 9 healthcare billing scams cases that made headings in the previous month.

1. Pennsylvania physician pays $1.2 M to settle billing fraud allegationsA doctor in Berwyn, Pa., consented to pay $1.26 million to resolve False Claims Act claims.

2. Florida physician pleads guilty to submitting $20M in deceitful claimsA physician in Florida pleaded guilty to conspiracy to devote health care fraud and deals with a maximum of 10 years in federal jail.

3. Chicago health center defeats claims of ghost payroll schemeAn Illinois federal court dismissed a whistleblower lawsuit declaring University of Chicago Medical Center, Medical Business Office and Trustmark Recovery Services violated the False Claims Act.

4. West Virginia medical facility settles whistleblower suit for $50MWheeling (W.Va.) Hospital accepted pay $50 million to solve allegations that it breached the False Claims Act by sending claims to Medicare that resulted from offenses of Stark Law and the Anti-Kickback Statute.

5. Ex-physician group managers, owner consent to fix billing fraud allegationsTwo previous managers and the owner of a now-defunct physician group in North Carolina consented to resolve accusations that they billed federal payers for medically unnecessary diagnostic tests.

6. Immediate care network to pay $12.5 M in billing scams caseA company that owned and ran more than 30 immediate care centers consented to pay $12.5 million to resolve overbilling claims.

7. Self-reliance Blue Cross pays $2.3 M to settle incorrect claims allegationsIndependence Blue Cross accepted pay $2.3 million to deal with allegations that two of its subsidiaries incorrectly calculated Medicare plan expenses for CMS, resulting in inflated compensation.

8. Pennsylvania healthcare facility, RCM supplier settle billing scams allegationsPhoenixville (Pa.) Hospital and Firstsource Solutions, a revenue cycle companies, accepted pay a combined $325,000 to settle False Claims Act accusations.

9. Texas physician pays $530K to settle billing fraud allegationsA discomfort management physician from Houston paid $530,000 to solve allegations of deceptive Medicare billing.

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Health center concurred to pay $50 million to fix accusations that it breached the False Claims Act by sending claims to Medicare that resulted from infractions of Stark Law and the Anti-Kickback Statute.