Kickbacks

OIG Issues Fraud Alert on Pharmaceutical Company In-Person Speaker Programs

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...]

DOJ

EKRA Prosecution: What Does this Mean for the Laboratory Industry? 

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...]

Enforcement Scorecard

The HIPAA Information Access Rights Crackdown Continues

The face of federal HIPAA enforcement has changed in a subtle but significant way in the past 18 months. Historically, the focus has been all about keeping personal health information (PHI) private … [Read more...]

CMS Says Improper Medicare Fee-for-Service Payments Are Down $15 Billion Since 2016

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

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...]

Labs In Court

Pennsylvania Medical Assistants Confess to Participating in Genetic Test Fraud Scheme

  Case: Federal and state enforcers are closing in on a Pennsylvania primary care physician who allegedly ripped off Medicare for genetic tests to the tune of $755,241. At the center of the scheme is … [Read more...]

Enforcement Trends

Labs Caught Up in Massive National Telemedicine Takedown

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

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

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

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...]


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