Channel Sponsor - Coding/Billing/Collections

Sponsored by National Medical Billing Services | info@nationalASCbilling.com | (636) 273-6711

Chicago ASC physician convicted in $3.5M billing fraud scheme: 5 things to know

Paul Madison, MD, was convicted of healthcare fraud, aggravated identity theft and lying about medical treatment delivery after directing staff to fraudulently bill for procedures at the surgery center where he practiced, according to a Chicago Sun Times report.

Here are five things to know:

1. Dr. Madison, an anesthesiologist and pain management specialist at Watertower SurgiCenter in Chicago, was convicted of ordering staff to fraudulently bill for surgeries that weren't performed from 2005 to 2009.

2. Under his direction, Dr. Madison's staff fraudulently billed for more than $3.5 million and wrongly received $783,000, according to an FBI report. 

3. In 2007, Illinois state regulators discovered the fraud and at that time Dr. Madison directed staff members to destroy records and lie to investigators, according to the report.

4. Initially indicted in 2012, a federal jury convicted Dr. Madison last week of six counts of healthcare fraud, three counts of lying about medical treatment and two counts of aggravated identity theft, according to the report. He will be sentenced in March 2019.

5. Dr. Madison's maximum sentence is 79 years in prison.

More articles on surgery centers:
Here's what CMS pays for 6 orthopedic procedures for ASCs vs. HOPDs
3 things to know on private equity investment in ophthalmology ASCs
4 ways ASCs should be leveraging hospital partnerships

© Copyright ASC COMMUNICATIONS 2018. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.

 

Top 40 Articles from the Past 6 Months