1. New York City-based physician Harold Bendelstein, MD, was convicted of billing Medicare and Medicaid for procedures that were not performed.
2. Michael DeNicola, DPM, admitted to his role in a healthcare fraud scheme, distribution of opioids and illegal possession of a firearm.
3. Jeffrey Gallups, MD, owner of a chain of Alpharetta, Ga.-based medical clinics, has been sentenced to three years in prison for a scheme in which the former Georgia insurance commissioner also has been indicted.
4. Charlotte, N.C.-based physician Sudipta Mazumder, MD, was charged with defrauding Medicare and Tricare of more than $11 million in 2019 and 2020.
5. A Florida physician, pharmacist and Navy veteran lost the appeal of their conviction in a $4.4 million Tricare fraud scheme.
6. Lodi, Calif.-based orthopedic surgeon Gary Wisner, MD, was convicted of defrauding CMS and Medi-Cal over four years.
7. Arkansas-based physician Joe May, MD, was convicted on 22 counts for his involvement in a scheme to defraud Tricare of $12 million.
8. Minas Kochumian, MD, paid $9.49 million to settle allegations that he submitted false claims to CMS and Medi-Cal, California’s Medicaid program, for procedures and tests that were never performed.
9. Muskegon, Mich.-based physician Soaries Maxine Peterson, MD, has pleaded guilty to billing Medicare, Medicaid and Blue Cross Blue Shield for services she did not perform.
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.
