BC Advantage - 2025 Issue 4

Spotlight on March 2025 FWA

Medical Billing Company Owner Sentenced for Healthcare Fraud    A NY man was sentenced to one year of probation and ordered to pay $34,583.21 in restitution, for healthcare fraud.   As part of his guilty plea, the man admitted that from approximately April 2020 through April 2023, he acted as the office manager and healthcare claims biller for two physicians' practices through a company that he formed called SJ Healthcare Management Services, LLC (SJHMS). SJHMS charged a fixed monthly fee under which the man performed various management, administrative, and billing services for the practices. He admitted that...

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