Feds Salvage $2.5 Million from $90 Million Genetic Testing Scam Case: The feds accused Nevada Heart & Vascular Center (NHVC) of taking kickbacks from a pair of now defunct genetic testing … [Read more...]
COURT CASES
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
July 16, 2019
FALSE CLAIMS
Case of the Month: Physicians Come Under Fire for Taking Blood Processing Fee Kickbacks from HDL
June 17, 2019
Like the tango, it takes two to break the anti-kickback laws: one to offer and pay the kickback and the other to accept it. When a major scheme involving payment of kickbacks for lab testing referrals … [Read more...]
COURT CASES
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
June 17, 2019
Florida Doctor Settles Kickback, False Claims Charges for $911K Case: A Florida doctor settled charges of taking kickbacks for referring patients to Universal Oral Fluid Laboratories, a … [Read more...]
COURT CASES
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
June 10, 2019
New York Breaks Up Massive $28 Million Medicaid Diagnostics Mill Case: One of the biggest Medicaid diagnostics fraud schemes in recent memory has resulted in multiple convictions, including two … [Read more...]
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
April 18, 2019
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 … [Read more...]
COURT CASES
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
March 25, 2019
$1.99 Million Settlement for False Billing of Genetic Tests Case: In a case that began as a whistleblower suit filed by two ex-employees, GenomeDx Biosciences has agreed to shell out $1.99 … [Read more...]
COURT CASES
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
February 19, 2019
Texas Pathology Lab Settles EHR Consulting Kickback Claims for $63.5 Million Case: In 2006, HHS implemented an AKS safe harbor and Stark exception letting non-physician providers pay up to 85% … [Read more...]
CYBERSECURITY
HIPAA ePHI Violation Costs Colorado Hospital $111,400
February 15, 2019
Case: This case began when the Office of Civil Rights (OCR) received a complaint contending that an ex-employee of Pagosa Springs Medical Center (PSMC) still had remote access to the critical access … [Read more...]
ANTI-KICKBACK
Despite Vigorous Denial, Molecular Lab Pays $1.8 Million to Settle Fraud Charges
February 8, 2019
Case: The feds claim that Molecular Testing Labs, a toxicology and genetics lab in Washington State, paid local labs in exchange for Medicare and Tricare referrals; it then turned what had been an … [Read more...]
FALSE CLAIMS
Chicago Doctor Indicted for Approving Medically Unnecessary In-Home Tests
February 1, 2019
Case: Working out of a Chicago-based clinic, a doctor allegedly prescribed and authorized ultrasounds, percutaneous allergen and nerve transmission for Medicare patients even though he knew the … [Read more...]
