Labs In Court

Florida Lab, Execs Settle False Billing of Urine Drug Test Charges for $41 Million

Case: Prosecutors accused a Tampa reference lab, pain clinic and two former executives of billing Medicare, Medicaid and TRICARE for medically unnecessary presumptive and definitive Urine Drug Testing … [Read more...]

Labs In Court

Taking Job at Genetic Lab Doesn’t Violate Oncologist’s Non-Compete with Health Data Firm

Case: Three years after becoming Senior Medical Director of Research Oncology for healthcare technology and data services company Flatiron Health, an accomplished oncologist accepted the position of … [Read more...]

Labs In Court

Feds Arrest Ring Leaders of Alleged COVID-19 False Testing Scheme

Case: Starting in October 2018, a small clique in Georgia made a pretty nice living by gaming Medicare for cancer genetic (CGX) testing. After persuading patients to complete genetic test kits and … [Read more...]


Model COVID-19 Exposure Control Plan

Regulators have made it clear that workplaces, including labs, must implement written plans to control COVID-19 exposure risks at the site. Here’s a Model Plan template your lab can adapt that … [Read more...]


Can Lab Lease Space for COVID-19 Testing to Referring Physician at Below-Market Rent?

SITUATION ABC Laboratories wants to help a local physician establish a desperately needed COVID-19 testing lab in the community. ABC is willing to lease her the necessary space and testing … [Read more...]

Labs In Court

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

Whistleblower Lawsuit Can’t Start Until Criminal Investigation Ends  Case: Two former MedComp Laboratory Sciences employees filed a whistleblower lawsuit accusing the lab of concocting an elaborate … [Read more...]

Medicare Reimbursement

CMS Waivers Expand COVID-19 Testing Coverage Rules

On May 1, CMS issued regulatory waivers temporarily expanding coverage and clarifying billing of COVID-19 testing for Medicare and Medicaid beneficiaries during the public health emergency (PHE). Here … [Read more...]


Lab to Pay Up to $43 Million After Disregarding Employee’s False Billing Concerns

One of the costliest False Claims Act settlements in recent years is still one more cautionary tale of how dismissing the reports of lab employees who come forward to express internal compliance … [Read more...]

Compliance Perspectives

How to Create a COVID-19 Exposure Control Plan

For as long as COVID-19 remains a threat, businesses—both essential and nonessential—won’t be allowed to re-open and remain open unless they implement a plan to control workplace infection risks. … [Read more...]

Brief Your CEO

The 18 Things You Can Do for COVID-19 that You Can’t Do for Other Testing  

Blanket Waivers relaxing kickback law restrictions standing in the way of desperately needed COVID-19 tests continue to play a crucial role in the federal government’s response to the Public Health … [Read more...]