West Virginia Medicaid Recovers $17 Million for $8.5 Million Opioid Scam Case: A subsidiary of Acadia Healthcare Co. has agreed to pay $17 million to settle charges of falsely billing West … [Read more...]
NEWS
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
May 23, 2019
COURT CASES
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
May 21, 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...]
FALSE CLAIMS
Enforcement Trends: Feds Targeting Commercial & Private-Pay, Not Just Medicare Fraud
May 21, 2019
Risk of federal prosecution for health fraud and abuse applies only when you deal with Medicare, TRICARE or other federal health programs. Right? Wrong! While that used to be true, the times they … [Read more...]
FALSE CLAIMS
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
May 13, 2019
WV Hospital & Marketing Consultant Sued for Elaborate Kickback Scheme Case: A new DOJ lawsuit accuses a West Virginia non-profit hospital and its business consultant of seeking to dominate the … [Read more...]
ANTI-KICKBACK
Pain Management Clinic, 2 MDs Pay $99K to Settle Millennium Free POCT Cup Kickback Claims
May 8, 2019
Case: An Oklahoma pain management practice and two of its physicians are the latest to settle kickback claims for accepting free point of care test cups from now defunct Millennium Laboratories. The … [Read more...]
ANTI-KICKBACK
Texas Pathology Lab Settles EHR Consulting Kickback Claims for $63.5 Million
May 2, 2019
Case: In 2006, HHS implemented an AKS safe harbor and Stark exception letting non-physician providers pay up to 85% of physicians' costs to help them transition from paper records to EHR systems. But … [Read more...]
ANTI-KICKBACK
Lab Settles Specimen Collection Fee Kickback Charges for $2.275 Million
April 22, 2019
Case: Cleveland HeartLab (CHL) has agreed to pay $2,275,094 after self-disclosing to the OIG that it paid remuneration in the form of payments to physicians and physician groups for collecting, … [Read more...]
FALSE CLAIMS
Compliance Perspectives: How to Spot & Avoid Kickback Risks under New EKRA Law
April 1, 2019
A new law passed to deal with the opioid epidemic has significant ramifications for labs including but not limited to those involved in drug addiction and recovery programs. Specifically, the … [Read more...]
FALSE CLAIMS
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
March 27, 2019
56 Months' Jail for Lab Technician Caught in Texas Toxicology Scam Case: A former toxicology testing company account rep pled guilty to conspiring with a medical clinic lab technician to steal … [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...]
