BC Advantage - 2023 Issue 11

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. Doctor Convicted for COVID-19 Healthcare Fraud SchemeEarly August saw a federal jury convicting a Maryland doctor for submitting over $15 million in false and fraudulent claims to Medicare and a commercial insurer for patients who received COVID-19 tests at his testing sites.According to court documents and evidence presented at trial, this doctor was an owner and the medical director of an entity that operated multiple drive-through COVID-19 testing sites. He instructed...

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