Medical Biller for Physician Practice Sentenced to 45 Months in Prison, Fined $1M for Healthcare Fraud

October 2, 2015 | Strategic Insights for Ambulatory Care


​A medical biller for a physician practice that visits patients in their homes was sentenced to 45 months in prison and ordered to pay a fine of $1 million for her role in a $4 million healthcare fraud scheme, according to a September 18, 2015, Department of Justice press release. Evidence at the trial showed that from 2007 to 2011, the medical biller and her co-conspirators routinely billed Medicare for services never provided, such as overseeing patient care plans. They also billed for services to deceased patients, services by employees no longer affiliated with the practice, and services that, based on billing records, meant healthcare providers worked over 24 hours per day.

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