Labs In Court

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

SCOTUS Agrees to Step in and Resolve Obamacare Constitutionality  Case: Before COVID-19, the health care issue that kept millions of Americans up at night was the future of the Affordable Care … [Read more...]

Labs In Court

WV Hospital & Marketer Accused of Elaborate Kickback Scam

 Case: A new DOJ lawsuit accuses a West Virginia non-profit hospital and its business consultant of seeking to dominate the Ohio Valley market by bribing physicians for referrals. The scheme began in … [Read more...]

Labs in Court

Drug Abuse Treatment Owner Guilty of $57 Million Drug Test Pass-Thru Billing Conspiracy

Case: The owner of a northern Florida substance abuse treatment center pleaded guilty for his role in a $57 million pass-through lab testing billing and money laundering scheme. The way it worked: The … [Read more...]

Labs In Court

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

Reference Lab Pays $26.7 Million to Settle False Claim Charges  Case: The feds claim that Laboratory Boston Heart Diagnostics contracted to provide lab testing services to Texas hospitals in … [Read more...]

EKRA: More than a Year Out, Major Questions Remain Unresolved

One of the scariest new lab compliance laws in recent memory is the Eliminating Kickbacks in Recovery Act of 2018 (EKRA). While laws banning remuneration in exchange for referrals is nothing new to … [Read more...]

ANTI-KICKBACK

Compliance Tool: Model In-Office Phlebotomist Agreement

The following Model Agreement between a testing lab and a referring physician was created by Savannah, GA, lab compliance attorney Adam Walters and structured to minimize kickback liability risks to … [Read more...]

LABS IN COURT

Massachusetts Practice Busted for Taking Free POCT Cups from Millennium

Case: A northern Massachusetts medical practice and Detroit pain clinic became the latest downstream providers to pay the OIG a five-figure fine to settle kickback claims in the form of accepting free … [Read more...]

In Brief: OIG Opens Second Avenue for Anti-Kickback Statute Revisions

Even as we wait for the second draft of the proposed new value-based kickback relief rules—see National Intelligence Report (NIR), Nov. 15, 2019—the OIG issued its annual call for recommendations for … [Read more...]

LABS IN COURT

Texas Health System Fined $431K for Falsely Billing Genetic Tests  

Case: The feds contend that between 2016 and 2018, Decatur Hospital Authority (d/b/a Wise Health System) sent samples from surgical patients to Tennessee labs for medically unnecessary genetic tests. … [Read more...]

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

Court Refuses to Let M.D./Executives Out of Their Non-Competes  Case: After leaving the national reference lab in which they owned equity and served as executives, a pair of Georgia pathologists … [Read more...]


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