BILLING AND COLLECTIONS

California Lab, Owner Excluded 5 Years for Medicare Screening Test Billings

Case:┬áBilling Medicare for screening exams is illegal. The latest providers to learn that lesson the hard way is Orange, California, independent diagnostic testing facility CHJ Diagnostics, which … [Read more...]

COMPLIANCE GUIDANCE

Compliance Perspectives: Managing Kickback Liability Risks of Specimen Processing Fees

It's common practice for labs to pay physicians a fee for collecting and processing blood, urine, tissue, and other specimens from the patients they refer to your lab for testing. While this might … [Read more...]

RESEARCH

Genomics Giants Accused of Misappropriating Sequencing Technology

Case: A trio of medical researchers are accusing Illumina, Thermo Fisher Scientific and Affymetrix of stealing the zip code sequencing technology they developed. The trade secret theft and fraud … [Read more...]

ANTI-KICKBACK

Michigan Hospital System Pays $84.5 Million for Alleged Billing of Kickback-Induced Services

Case: William Beaumont Hospital has agreed to cough up $84.5 million to settle False Claims Act charges. The case, which began as a qui tam whistleblower lawsuit, contends that the Detroit-based … [Read more...]

PATIENT SAFETY

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

Free Testing Supplies to Physicians Costs Massachusetts Lab $1.374 Million Case: A federal court ordered Calloway Laboratories, Inc. to pay $1,374,058 to settle claims of falsely billing … [Read more...]

BILLING AND COLLECTIONS

Shareholders Sue Missouri Hospitals for Alleged Lab Billing Ripoff

Case: A new shareholder lawsuit targets the CEO and other individuals at a Missouri 10-hospital group called HMC Hospitals for allegedly running a $90 million lab billing fraud scheme out of the … [Read more...]

WHISTLEBLOWERS

Kickback Settlement Costs Pennsylvania Hospital $13.1 Million

Case:┬áThe most expensive kickback settlement of 2018 to date features Post Acute Medical, LLC (PAM) in the starring role. The case which began as a whistleblower lawsuit, claims the Pennsylvania-based … [Read more...]

ENFORCEMENT

Whistleblower Sues Montana Health System Officials for Elaborate Kickback Scheme

Case: The CFO of a Montana hospital physician network filed a qui tam lawsuit against his employer for paying physicians above-market compensation in exchange for referrals to network labs, … [Read more...]

ANTI-KICKBACK

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

Kickback Settlement Costs Pennsylvania Hospital $13.1 Million Case: The most expensive kickback settlement of 2018 to date features Post Acute Medical, LLC (PAM) in the starring role. The case … [Read more...]

ENFORCEMENT

Ohio Hospital System Settles Kickback Claims for $14.25 Million

Case: Mercy Health has agreed to pay $14.25 million to settle charges of having improper financial relationships with six referring staff physicians. The feds accused the Cincinnati-based nonprofit … [Read more...]


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