Case: In one of the largest kickback settlements of 2020, Texas Heart Hospital of the Southwest, a partially physician-owned hospital, and its management company subsidiary (which we’ll refer to … [Read more...]
Labs in Court
Texas Hospital Pays $48 Million to Settle False Claims and Kickback Charges
February 25, 2021
Labs in Court
DME Company Must Pay $762K for Retaliating against Whistleblower
February 4, 2021
Case: A key account manager (KAM) filed a qui tam lawsuit against the medical device company that employer her for allegedly accepting kickbacks from a leading client. When the client found out that … [Read more...]
HIPAA
HHS Proposes Significant Value-Based Care Changes to HIPAA Privacy Rule
December 21, 2020
As its days dwindle down, the current administration is mobilizing for one final push to reduce what it perceives to be unnecessarily burdensome regulation, including on the medical privacy front. On … [Read more...]
Special Report: Long-Awaited Kickback Relief Rules Leave Labs Out in the Cold
December 20, 2020
The final rule for value-based care kickback relief that HHS and the OIG published on Nov. 20 is slightly more favorable to labs than the proposed rule published in October 2019. But with a limited … [Read more...]
FOCUS ON
The Year in Labs Regulation: The 9 Biggest Stories of 2020
December 20, 2020
When 2020 started, COVID-19 was just a news story unfolding on the other side of the globe in China. The novelty of the pathogen meant that there were no tests specifically targeting the virus on the … [Read more...]
Labs in Court
Tennessee Operator Fined $9.015 Million for Running Drug Testing Lab After Being Excluded from Medicare
December 2, 2020
Case: Mr. Dube was excluded from federal healthcare programs in June 2012. But that didn’t stop him from establishing American Toxicology Labs (ATL) in Tennessee in May 2013. With Mr. Dube’s wife … [Read more...]
Kickbacks
OIG Issues Fraud Alert on Pharmaceutical Company In-Person Speaker Programs
November 27, 2020
Before the pandemic put the chill on live conference events, it was fairly common for pharmaceutical companies, device makers and diagnostics companies to offer healthcare professionals fees for … [Read more...]
Special Report
Final Rules Offer Real Stark and Kickback Relief but Largely Exclude Labs
With its time apparently running out, the Trump administration completed one of its pet projects by finalizing the kickback reform rules it proposed in October 2019. Issued on Nov. 20, the new final … [Read more...]
DOJ
EKRA Prosecution: What Does this Mean for the Laboratory Industry?
November 21, 2020
By Charles Dunham, IV, Shareholder at Greenberg Traurig, LLP & Benjamin Nipper, Associate at Greenberg Traurig, LLP In January 2020, the U.S. Department of Justice (DOJ) made its first … [Read more...]
Labs in Court
Pain Management Network Shells Out $1 Million to Settle Lab Testing Kickback Charges
November 21, 2020
Case: The DOJ accused a collection of companies owned by Wisconsin-based Advanced Pain Management Holdings, Inc. (APMH) of paying kickbacks in the form of shares of company stock to non-employee … [Read more...]
