76 physicians charged in $2.7B fraud schemes

The Justice Department charged 193 people, including 76 physicians, for their alleged roles in fraud schemes nationwide.

Advertisement

In a June 27 news release, the Justice Department said the charges include more than $900 million fraud scheme connected to amniotic wound grafts and more than $1.1 billion in telemedicine and lab fraud. The charges also covered $450 million in other healthcare fraud and opioid schemes.

In the instance involving the amniotic wound grafts, physicians allegedly used amniotic wound grafts unnecessarily for Medicare beneficiaries “without coordination with the patients’ treating physicians and without proper treatment for infection,” according to the news release. Medicare paid the two defendants in this case more than $600 million in 16 months. The defendants also owned wound care companies and received more than $330 million in illegal kickbacks, according to the release.

The federal government seized more than $70 million, including four luxury vehicles and gold, connected to this case.

All together, the charges represented $2.7 billion in fraudulent claims filed and $1.6 billion in losses.

Read more about all of the charges here.

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 5 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

Advertisement

Next Up in ASC Coding, Billing & Collections

Advertisement

Comments are closed.