A medical biller, Joshua Maywalt, of Tampa, Florida, was sentenced to 5 years and 5 months to federal prison for his direct role in committing fraud. He was also ordered to forfeit over $2 million and associated property related to the fraudulent proceeds.
Maywalt was a medical biller at a company that provided both billing and credentialing services. In his capacity, he was responsible for submitting claims on behalf of a client. He used the client’s patient and provider information to submit false claims under a physician that were not provided. He then altered the “pay to” information with the insurance payment processor and had the money routed to bank accounts under his control.
Medical billers and coders are seeing no mercy from prosecutors or the courts in their role of assisting healthcare fraud. Billing companies should have robust compliance operations and solid internal controls to help prevent fraud.
The press release can be found here.
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