Case: The OIG entered into separate settlement agreements with the three providers involved in a self-disclosed kickback arrangement. Although the details weren't disclosed, Orlando Foot & Ankle … [Read more...]
COURT CASES
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
July 16, 2019
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...]
REIMBURSEMENT
Federal Jury Finds Trio Guilty of $3.5 Million Lab Kickback Conspiracy
July 12, 2019
Case: Three men from the Chicago area were convicted of taking bribes for sending blood, urine and saliva samples to St. Louis lab AMS Medical Laboratory, Inc. for testing subsequently billed to … [Read more...]
STARK LAW
Compliance Heads Up: New Kickback Safe Harbors Rule Is Almost Ready
July 8, 2019
After months of promises, posturing and public consultation, the Department of Health and Human Services is getting ready to unveil a proposed rule to liberate labs and other providers from the … [Read more...]
FALSE CLAIMS
Device Company Pays Nearly $20 Million to Settle MD Bribe Claims
July 5, 2019
Case: Former sales managers of Covidien LP filed a whistleblower suit accusing the firm of providing free or discounted marketing and practice development services to California and Florida physicians … [Read more...]
ENFORCEMENT
Case of the Month: Feds Target Doctors Who Took Kickbacks from HDL
June 28, 2019
When it comes to breaking up lab kickback schemes, federal enforcers start with the lab that paid the kickbacks and then turn to the downstream providers that accepted them. This was the pattern in … [Read more...]
FALSE CLAIMS
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
June 28, 2019
IBM Shells Out $14.8 Million to Settle Claims of Overselling ACA Software Case: The DOJ contends that IBM and Cúram Software, the company it acquired in 2011, misrepresented the capabilities of … [Read more...]
REIMBURSEMENT
Co-Owner of Kentucky Lab Pleads Guilty to Reference Lab Conspiracy
June 28, 2019
Case: This story is about a medical billing firm T. Monroe Medical Billing and its toxicology lab client Compliance Advantage LLC (CAL) that were partially owned by the same gentleman. The problems … [Read more...]
Compliance Heads Up: New Kickback Safe Harbors Rule Is Almost Ready
June 25, 2019
After months of promises, posturing and public consultation, the Department of Health and Human Services is getting ready to unveil a proposed rule to liberate labs and other providers from the … [Read more...]
COMPLIANCE
New OIG Report Confirms that Labs Are Still on the Enforcement Radar
June 24, 2019
After a recent dip, OIG enforcement activity has seemingly rebounded, at least in terms of total recoveries. That's the basic punchline from the newly published OIG Semiannual Report to Congress … [Read more...]
