tci Medicare Compliance & Reimbursement - 2023 Issue Q2

Industry Notes: Physician Gets Fine and 6 Years in Prison for Healthcare Fraud

The feds continue to levy significant convictions and penalties against fraudsters — and the numbers keep getting bigger. Lowdown: In another major False Claims Act (FCA) case, Bay City, Michigan vascular surgeon Vasso Godiali was sentenced to more than 80 months in prison for a years-long scheme to defraud Medicare, Medicaid, and private payer Blue Cross/ Blue Shield of Michigan. Starting in 2009, the physician began submitting false claims for “the placement of vascular stents and for thrombectomies that he did not perform,” a Department of Justice (DOJ) release indicates. On top of billing for the thrombectomies...

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