Case of the Month: Jury Socks HDL Blood Test Fraud Principles with $114.1 Million Verdict

Roughly three years ago at this time, mega-scandals were in the news featuring diagnostic giants like Millennium, Health Diagnostic Laboratory (HDL), Biodiagnostic Laboratory Service and the like. But … [Read more...]


OIG Work Plan Monthly Review: April 2018

Four of the six new items that the OIG added to its workplan have an impact—albeit indirect—on labs: 1. CMS Recovery of Medicare Overpayments Issue: Between Oct. 1, 2014 and Dec. 31, 2016, OIG … [Read more...]


OIG Work Plan Monthly Review: March 2018

One of the seven new items on the OIG's Work Plan this month, one deals with child support. Among the six items focusing directly on health care, none directly address clinical laboratories or … [Read more...]


Enforcement Trends: Why Fending Off Whistleblowers Might Have Just Gotten Easier

Because government enforcers cannot be everywhere at once, the qui tam whistleblower lawsuit was invented. The result has been a proliferation of fraud cases against not just labs and health care … [Read more...]


Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

ACLA Goes for Jugular in PAMA Challenge Case Case: Attorneys for the American Clinical Laboratory Association asked the federal court for summary judgment in its lawsuit challenging the legality of … [Read more...]


OIG Work Plan Monthly Review: February 2018

The three new items OIG added to its Work Plan this month focus on various oversight of Medicare and Medicaid program initiatives, including State Medicaid fraud enforcement, processing of provider … [Read more...]


Enforcement Trends: Opioid Crackdown Zeroes in on Urine Drug Testing-Today the Doctors, Tomorrow the Labs

A 67-year-old Michigan M.D. is the most recent doctor taken down in what has become a crucial part of the federal government's opioid drug crusade: urine tests ordered by prescribing physicians to be … [Read more...]


Enforcement Trends: Whistleblowers Get in on the EHR “Meaningful Use” Action

Wrongful payment of electronic health records (EHR) "meaningful use" incentives has become a growth area in government health fraud enforcement. (See GCA, July 10, 2017). And now private … [Read more...]


OIG Work Plan Monthly Review: January 2018

Opioid drug-related issues continue to command the lion's share of OIG Work Plan attention, including two of this month's six new items. While none of the new initiatives directly affect labs or lab … [Read more...]


OIG Work Plan Monthly Review: December 2017

None of the six items the OIG added to its Work Plan this month directly address labs or labs services. However, five of the new items, including the two dealing with opioid abuse, might affect labs … [Read more...]