Home 5 Articles 5 Eight Pay $1.1 Million to Settle Lab Test False Billing Charges

Eight Pay $1.1 Million to Settle Lab Test False Billing Charges

by | Feb 28, 2022 | Articles, Essential, Lab Compliance Advisor, Labs in Court-lca

Case: Seven doctors and a hospital executive accused of FCA, Anti-Kickback, and Stark Law violations have agreed to pay $1,106,449 to settle the case. The feds charged the doctors with taking thousands of dollars in bribes, disguised as investment returns, from eight management service organizations (MSOs) in exchange for orders of lab tests subsequently billed to Medicare.   Significance: The hospital exec allegedly coordinated with the labs to pay volume-based commissions to independent contractor recruiters, who used the MSOs to make payments to the doctors. In addition to a $50,000 fine, he has accepted an exclusion from participating in federal health care programs for three years.

Case: Seven doctors and a hospital executive accused of FCA, Anti-Kickback, and Stark Law violations have agreed to pay $1,106,449 to settle the case. The feds charged the doctors with taking thousands of dollars in bribes, disguised as investment returns, from eight management service organizations (MSOs) in exchange for orders of lab tests subsequently billed to Medicare.

 

Significance: The hospital exec allegedly coordinated with the labs to pay volume-based commissions to independent contractor recruiters, who used the MSOs to make payments to the doctors. In addition to a $50,000 fine, he has accepted an exclusion from participating in federal health care programs for three years.

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