Florida Lab, Execs Settle False Billing of Urine Drug Test Charges for $41 Million Case: Prosecutors accused a Tampa reference lab, pain clinic and two former executives of billing Medicare, … [Read more...]
Labs In Court
A roundup of recent cases and enforcement actions involving the diagnostics industry
April 27, 2020
SCORECARD
Scorecard: SVT False Billing Settlements Near the $3 Million Mark
March 9, 2020
Urine drug testing for purposes of medical treatment is deemed medically necessary under Medicare billing and payment rules. The same is not true for specimen validity tests (SVT), a quality control … [Read more...]
Labs in Court
Drug Abuse Treatment Owner Guilty of $57 Million Drug Test Pass-Thru Billing Conspiracy
February 6, 2020
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
January 27, 2020
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...]
Labs In Court A roundup of recent cases and enforcement actions involving the diagnostics industry
January 2, 2020
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...]
ANTI-KICKBACK
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
October 18, 2019
Quest Pays $88.7K to Settle Specimen Collection Fee Kickback Charges Against Its Subsidiary Case: After self-disclosing, Quest has settled kickback claims against its wholly-owned subsidiary, … [Read more...]
ANTI-KICKBACK
WV Hospital & Marketing Consultant Sued for Elaborate Kickback Scheme
September 27, 2019
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...]
CODING
Urgent Care Centers Settle E/M Upcoding Charges for $2 Million
September 11, 2019
Case: The owners/operators of CareWell urgent care centers in Massachusetts and Rhode Island have agreed to shell out $2 million for improper coding of Evaluation and Management services. CPT code … [Read more...]
ANTI-KICKBACK
Texas Scammer Gets 20 Years for Role in $50 Million Lab Test Ripoff
September 6, 2019
Case: The plot unfolded 10 years ago when a then 26-year-old woman and three co-conspirators set up 24 phony diagnostic testing centers in Houston. Offices were rented in 28 locations even though none … [Read more...]
