FALSE CLAIMS

Kentucky Lab Pays $125K to Settle Self-Disclosed SVT False Billing Charges

Case: VerraLab JA, LLC, has agreed to pay $125,983 after self-disclosing that it billed Medicare for specimen validity tests (SVT) performed to authenticate urine samples for drug testing. Unlike the … [Read more...]

WHISTLEBLOWERS

Billing & Coding: Myriad Genetics Pays $9.1 Million to Settle Claims of Falsely Billing Medicare for Hereditary Cancer Tests

In March 2018, Myriad Genetics got a piece of mail no lab provider ever wants to see in its inbox: an OIG subpoena asking for billing records in connection with "an investigation into possible false … [Read more...]

ENFORCEMENT

Kickbacks: Massachusetts Practice Latest Provider Busted for Taking Kickbacks from Millennium

A northern Massachusetts medical practice became the latest downstream provider to pay the OIG a five-figure fine to settle kickback claims in the form of accepting free point-of-care test cups from … [Read more...]

COMPLIANCE PLANS

OIG Monthly Work Plan Review: July 2019

This month there is only one new Work Plan item. Although it doesn't directly impact laboratory operations, it may be of interest to some labs. Quality of Maternal Healthcare in Indian Health Service … [Read more...]

HEALTH CARE REFORM

Developing Story: Doubt Grows as Obamacare Court War Enters Round 2

Heartburn over the survival of Obamacare is back with a vengeance. It reawakened seven months ago, after a Texas U.S. District Court found The Affordable Care Act unconstitutional—not just the … [Read more...]

COURT CASES

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

Drug Abuse Treatment Owner Guilty of $57 Million Drug Test Pass-Thru Billing Conspiracy Case: The owner of a northern Florida substance abuse treatment center pleaded guilty for his role in a … [Read more...]

SAFETY

Ergonomics in the Laboratory Setting

By Dan Scungio, MT (ASCP), SLS, CQA (ASQ)  bio Sometimes when I am talking about lab safety and the topic turns to ergonomics, I get an unusual reaction from the audience—laughter. It … [Read more...]

ENFORCEMENT

Compliance Perspectives: Feds Using Medicare Laws to Prosecute Non-Medicare Arrangements

Myth: Risk of federal prosecution for health fraud and abuse applies only when you deal with Medicare, TRICARE or other federal health programs. Truth: While that used to be true, the times they are … [Read more...]

NEWS

Healthcare ‘Trial of the Century’ Ends in Guilty Verdict against Esformes

Case: After a seven-week trial, a federal court convicted Florida healthcare executive Philip Esformes of 20 charges in carrying out a $1.3 billion Medicare fraud scheme, the biggest in history. In … [Read more...]

COMPLIANCE PLANS

OIG Monthly Work Plan Review: June 2019

This month, there were seven new Work Plan items. Two of these, detailed below, may have implications for some labs. Opioid Use in Medicare Part D in 2018 Issue: The opioid crisis remains a public … [Read more...]


(-00000g2)