Labs In Court

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

Referral Arrangement Violates Kickback Laws Even If Even Only Purpose Is to Generate Illegal Referrals Case: The U.S. Attorney accused a Kentucky physician of taking a $105 per beneficiary payment … [Read more...]

Labs in Court

BioReference Labs Shells Out $11.5 Million to Settle Kickback and False Billing Charges

Case: The feds claimed that from 2009 to 2012, BioReference Laboratories billed Medicare TRICARE for hospital inpatient tests listed on the Part B Clinical Lab Fee Schedule even though those tests … [Read more...]

Labs in Court

Referral Arrangement Violates Kickback Laws Even If Only Purpose Is to Generate Illegal Referrals

Case: The U.S. Attorney accused a Kentucky physician of taking a $105 per beneficiary payment from a lab company in exchange for ordering its pharmacogenetic tests in violation of the Anti-Kickback … [Read more...]

Whistleblowers

California Case Shows Why Paying Specimen Collection Fees of Any Amount Are a Liability Risk

Paying physicians fees to collect and process patient samples for testing is a dicey proposition because it exposes labs to suspicion under the Stark and Anti-Kickback Statute laws. Such arrangements … [Read more...]

Labs In Court

NIPT Lab Company Pays $49 Million to Settle False Billing and Kickback Charges

Case: A month after going public, Progenity agreed to shell out $49 million to settle claims of overbilling and paying physicians kickbacks to order its noninvasive prenatal tests (NIPT). The case, … [Read more...]

Stark Law

CMS Proposes to Peel Back Restrictions on Physician Owned Hospital Expansions

From the onset, the Administration has assigned a high priority to loosening Stark Law and Anti-Kickback Statute (AKS) restrictions. And now CMS has floated two new proposals allowing for greater … [Read more...]

Labs In Court

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

NIPT Lab Company Pays $49 Million to Settle False Billing and Kickback Charges Case: A month after going public, Progenity agreed to shell out $49 million to settle claims of overbilling and … [Read more...]

In the News

Healthcare Organizations Call for Quick Action on Kickback Law Changes

Labs and the health industry have been waiting for years for some Stark Law and Anti-Kickback Statute (AKS) relief. Last October, HHS, CMS and the OIG finally unveiled the long-awaited plans to … [Read more...]

Labs In Court

Whistleblower Can Sue Lab for Alleged Specimen Fee Kickback Collection Ripoff

Case: A whistleblower filed a False Claims Act suit charging a California lab of entering into “sham phlebotomy contracts” paying kickbacks to physicians’ family members and staff in the form of … [Read more...]

Quiz

Can Lab Give Medical Group Free Telehealth Equipment for Non-COVID Treatment and Diagnosis? 

SITUATION A local physician group in an underserved rural community wants to establish a telehealth capacity enabling it to examine and treat elderly patients who are observing social distancing or … [Read more...]


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