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.

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.


Featured Webinars

Featured Whitepapers

Featured Podcast