BC Advantage - 2024 Issue 12

Monthly Spotlight on Fraud, Waste, and Abuse

The following cases highlight fraud, waste, and abuse (FWA) and serve as a reminder to uphold high ethical standards when providing patient care and services.   Testing Laboratory Co-Owner Sentenced for $3.8 Million in Fraudulent Billing   Mid-August saw the U.S. District Judge on the case sentencing a former St. Louis County healthcare company owner to 20 months in prison and fining him $100,000 for submitting more than $3.8 million in fraudulent claims to Medicare, Medicaid, and private healthcare benefit programs.   He owned or operated a series of healthcare-related businesses. His co-defendant, a doctor...

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