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...]
Kickbacks
OIG Issues Fraud Alert on Pharmaceutical Company In-Person Speaker Programs
November 27, 2020
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...]
CMS Says Improper Medicare Fee-for-Service Payments Are Down $15 Billion Since 2016
November 17, 2020
CMS is claiming that its “aggressive corrective actions” have saved taxpayers over $15 billion in improper Medicare Fee-For-Service (FFS) payments over the past four years. According to the November … [Read more...]
Enforcement Trends
Feds Bust Labs for Telemedicine Testing Scams
November 17, 2020
So much for the pandemic’s dulling the momentum of federal fraud enforcement. Dubbed “Operation Rubber Stamp,” the new nationwide enforcement action revealed by the Department of Justice (DOJ) on … [Read more...]
Enforcement Trends
Labs Caught Up in Massive National Telemedicine Takedown
October 29, 2020
So much for the pandemic’s dulling the momentum of federal fraud enforcement. Dubbed “Operation Rubber Stamp,” the new nationwide enforcement action revealed by the Department of Justice (DOJ) on … [Read more...]
Enforcement Trends
Whistleblowing Activity Continues to Grow Despite the Pandemic
October 22, 2020
Even during a pandemic, False Claims Act whistleblower litigation against labs and other health providers continues to be a highly profitable business for both whistleblowers and the federal … [Read more...]
Labs In Court
A roundup of recent cases and enforcement actions involving the diagnostics industry
October 8, 2020
Referral Arrangement Violates Kickback Laws Even If Even Only Purpose Is to Generate Illegal Referrals Case: The U.S. Attorney accused a Kentucky physician of taking a $105 per beneficiary payment … [Read more...]
Labs in Court
BioReference Labs Shells Out $11.5 Million to Settle Kickback and False Billing Charges
October 4, 2020
Case: The feds claimed that from 2009 to 2012, BioReference Laboratories billed Medicare TRICARE for hospital inpatient tests listed on the Part B Clinical Lab Fee Schedule even though those tests … [Read more...]
