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Click here for more sample CPC practice exam questions and answers with full rationale

Stuart Physician Convicted of 23 Counts of Health Care Fraud

Sheetal Kanar Kumar, M.D., 48, in the past of Stuart, Florida, was discovered blameworthy by a jury of submitting twenty-three tallies of social insurance misrepresentation (Case No. 18-14063-CR-Marra). Dr. Kumar is planned to be condemned on April 19, 2019 at 10:00 a.m., by U.S. Area Judge Kenneth A. Marra in Fort Pierce.

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The Coding Network

Woman convicted for filing false medical claims

Lajuana Scott was sentenced to one year in jail and five years on probation following her conviction of three felony counts of embezzlement from a nonprofit or charitable organization. The former clinic biller made Medicaid claims for services never performed and then used nonprofit money for personal use.

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The Coding Network

Mississippi Physician Convicted in $3 Million TRICARE Pharmacy Fraud

A federal jury found a 78-year-old Biloxi, Mississippi physician guilty for his role in a $ 3 million pharmacy fraud scheme, which included military healthcare funds. According to the Department of Justice (DOJ) press release on March 5, the 78-year-old physician, Albert Diaz, was convicted of: One count of conspiracy to commit healthcare fraud; Four counts of distributing […]
AAPC Knowledge Center

Billers Convicted in Fraud Schemes

U.S. Attorney for the District of Maryland Rod J. Rosenstein announced December 20 that Elma Myles pled guilty to defrauding Medicaid and other health benefit programs by conspiring to have durable medical equipment provider RX Resources and Solutions (RXRS) bill for supplies that were never provided or medically unnecessary and overcharge for materials that were […]
AAPC Blog