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...]
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...]
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...]
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...]
FALSE CLAIMS
Authors of Genetic Testing Conspiracy Jailed for Preying on Seniors
June 21, 2019
Case: It's off to jail for the ringleaders of a conspiracy to bill Medicare for $430K worth of genetic tests. The leading defendant, a lab sales rep, posed as a representative of The Good Samaritans … [Read more...]
REIMBURSEMENT
Atlanta Medical Group Execs Jailed for $8.5 Million Allergy Testing Scheme
June 13, 2019
Case: The two owners of now defunct Primera Medical Group pled guilty to criminal charges for their role in billing insurers for allergy blood tests that weren't medically necessary, ordered by a … [Read more...]
ANTI-KICKBACK
56 Months’ Jail for Lab Technician Caught in Texas Toxicology Scam
June 5, 2019
Case: A former toxicology testing company account rep pled guilty to conspiring with a medical clinic lab technician to steal patient identities and urine specimens from the clinic and send them to … [Read more...]
NEWS
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
May 23, 2019
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...]
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...]
