Labs In Court

Recent Cases and Enforcement Actions Involving the Diagnostics Industry

This month's roundup of cases includes fraud, billing and coding, and HIPAA infractions. Holmes Can’t Use Out-of-Court Statements by Theranos Co-Founder Balwani as Evidence Case: Former Theranos … [Read more...]

Labs in Court

Pain Clinic Operator Gets Permanent Exclusion for Billing Medically Unnecessary Tests

Case: One of the beneficiaries of the pardon spree initiated by President Trump during his final days in office was the former CEO of now defunct Comprehensive Pain Services (CPS) convicted for his … [Read more...]

Labs in Court

Florida Treatment Center Settles HIPAA Right of Access Enforcement Action for $160,000

Case: On October 1, 2019, the patient of a Florida eating disorder treatment center requested a copy of her medical records. Seven weeks later, she sent a repeat request. Not until May 22, 2020 did … [Read more...]

Labs in Court

Did Cigna Wait Too Long to Sue Reference Labs for Fraudulent Billing?

Case: Health service company Cigna sued five labs for fraudulent billing of tests that were farmed out to reference labs. The federal court dismissed some of the claims as being barred by the statute … [Read more...]

Labs In Court

Pathology Practice Pays $2.4 Million to Settle Whistleblower Suit for Upcoding

Case: A physician brought a whistleblower lawsuit against a New Jersey pathology practice for falsely billing Medicare using CPT code 85390-26, which requires written analysis by a pathologist. The … [Read more...]

LABS IN COURT

Holmes Can’t Use Out-of-Court Statements by Theranos Co-Founder Balwani as Evidence

Case: Former Theranos founder Elizabeth Holmes and former president Ramesh “Sunny” Balwani are facing federal criminal charges for wire fraud and conspiracy. But Balwani’s trial isn’t scheduled to … [Read more...]

Labs in Court

Billing Medically Unnecessary Nuclear Stress Tests Costs Urgent Care Practice $1.25 Million

Case: A physician-owned primary and urgent care practice with clinics across South Carolina has agreed to pay $1.25 million to settle claims of billing Medicare, Medicaid and TRICARE for medically … [Read more...]

Labs In Court

Texas MDs Pay $3.9 Million to Settle Claims of Falsely Billing Urine Drug Tests

Case: A pair of Texas physicians have agreed to pay $3.9 million to settle claims of billing Medicare, Medicaid and TRICARE for urine drug tests that they knew weren’t medically necessary out of their … [Read more...]

Labs In Court

A roundup of recent cases and enforcement actions involving the diagnostics industry

Florida Lab Owner Gets 82-Month Jail Sentence for Telemedicine Genetic Test Ripoff Case: The Florida owner of multiple diagnostic labs will be spending 82 months in a federal prison after being … [Read more...]

Labs in Court

Ex-CEO of NWPL Settles Urine Drug Test Kickback Claims for $1.1 Million

Case: The former CEO of now-defunct Northwest Physicians Laboratories (NWPL) has agreed to shell out $1.1 million to settle charges of accepting millions in illegal payments for referring Medicare and … [Read more...]


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