Owner of MD Practices Settles Fraud Charges for $3.07 Million Case: Individual physicians implicated in frauds committed by the practices and clinics they own is this month's predominant theme. … [Read more...]
COURT CASES
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
December 14, 2018
COMPLIANCE GUIDANCE
Compliance Perspectives: Avoid Kickback Liability by Steering Clear of MD Processing Fees
December 10, 2018
Editor's Note: Two months ago, we talked about paying referring physicians a fee for collecting and processing blood, urine, tissue and other specimens. (G2 Compliance Advisor, Oct. 9, 2018, p. 1). … [Read more...]
FALSE CLAIMS
Free Testing Supplies to Physicians Costs Massachusetts Lab $1.374 Million
November 29, 2018
Case: A federal court ordered Calloway Laboratories, Inc. to pay $1,374,058 to settle claims of falsely billing Medicare and TRICARE for urine drug tests over a six-month period in 2014. As part of … [Read more...]
CONSUMER FRAUD
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
November 28, 2018
New York Doctor Busted for Falsely Billing Medicaid for Lab Drug Tests Case: The State claims that the physician billed for $939,000 worth of drug testing services that his lab didn't and … [Read more...]
OVERPAYMENTS
Rural Hospital Lab Outreach or Fraudulent Overreach?
November 23, 2018
Case: In February 2017, hospital management firm LifeBrite paid $400K to acquire a bankrupt rural outreach hospital in North Carolina with network status in Blue Cross Blue Shield North Carolina (BC). … [Read more...]
COURT CASES
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
November 16, 2018
Abbott Pays $25 Million to Settle TriCor Kickback & Off-Label Marketing Claims Case: The case began when a sales rep accused Abbott Laboratories and AbbVie Inc. of paying kickbacks to induce or … [Read more...]
ANTI-KICKBACK
Enforcement Trends: Feds Administer a Double Dose of Civil Monetary Penalty Increases
October 23, 2018
Potential penalties for Medicare violations will be higher if they're assessed on or after Oct. 11, 2018. That's when the newly announced Dept. of Health and Human Services' (HHS) inflation-adjusted … [Read more...]
CONSUMER FRAUD
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
October 19, 2018
Aetna Settles with States of Victims of HIV Meds Envelope Privacy Snafu Case: Aetna is still paying for a disastrous miscalculation that may have revealed the HIV status of 12,000 beneficiaries … [Read more...]
COURT CASES
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
October 11, 2018
Alabama Hospital and Lab Subsidiary Agree to $4.25 Million Kickback Settlement Case: Aperian Laboratory Solutions and its parent East Alabama Medical Center will fork over $4.25 million + legal costs … [Read more...]
COMPLIANCE GUIDANCE
Compliance Perspectives: Managing Kickback Liability Risks of Specimen Processing Fees
October 9, 2018
It's common practice for labs to pay physicians a fee for collecting and processing blood, urine, tissue, and other specimens from the patients they refer to your lab for testing. While this might … [Read more...]
