Transaction risk intelligence
Automated supplier statement reconciliation
Supplier risk intelligence
Managed AP recovery audit
Supplier file performance review
Forensic risk analysis
Consulting and bespoke reporting
New York doctor convicted in $24 million Medicare fraud case
In February 2025, a New York doctor was found guilty by a federal jury for his involvement in a $24 million Medicare fraud scheme.
The doctor received thousands of dollars in illegal cash kickbacks and bribes in exchange for ordering medical tests and equipment. These orders were made without proper patient examinations, often involving individuals he had never met.
The doctor was found guilty on one count of conspiracy to commit healthcare fraud, six counts of healthcare fraud, and three counts related to kickbacks.
As a result of these fraudulent activities, Medicare was billed over $24 million, with more than $2.1 million paid out to the laboratories including expensive cancer genetic tests.
Texas doctor sentenced to 10 years for $70 million fraud
In a similar case, in January 2025, a Texan doctor was sentenced to 10 years in prison and ordered to pay over $26 million in restitution. He was found guilty of prescribing durable medical equipment and cancer genetic testing for over 13,000 beneficiaries without seeing, speaking to, or treating the patients.
His actions led to more than $70 million in fraudulent Medicare claims, of which he personally profited $475,000.
How FISCAL helps you prevent fraud
Our P2P risk management software streamlines fraud detection in Accounts Payable, enabling your team to respond quickly. Utilising advanced forensics and AI, our platform scrutinises vendors and transactions to pinpoint fraud risks. Key checks include:
- Detecting unusual invoices, such as round amounts, exceptions, or inconsistencies.
- Matching employee credentials with supplier file records.
- Monitoring the master supplier file for issues like dormant accounts, unexpected changes, and duplicate vendors.
Additionally, the software features an audit trail to track who made changes and when.
Using our fraud prevention software enhances spend control, giving a high level of oversight and peace of mind.
