PRECISION MEDICINE

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

Using Nuclear Stress Tests as Screening Procedure = Medical Necessity Violation Case: A California cardio clinic and its physician owners will pay $1.2 million to settle charges of falsely billing … [Read more...]

FALSE CLAIMS

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

Using Nuclear Stress Tests as Screening Procedure = Medical Necessity Violation Case: A California cardio clinic and its physician owners will pay $1.2 million to settle charges of falsely billing … [Read more...]

COMPLIANCE CORNER

Medicare Exclusions: One Week, Two Different Labs Get the Boot

Exclusion of a clinical lab from participating in Medicare or other government health programs is a relatively rare penalty. But last month, there were two of them reported in the span of less than a … [Read more...]

ENFORCEMENT

OIG Work Plan Monthly Review: November 2017

The OIG added four new items to its Work Plan this month, all of which have potential indirect effects on clinical labs involved in providing the targeted services. 1. Opioids in Medicaid: Concerns … [Read more...]

ANTI-KICKBACK

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

Opioid Subscribing Doctor Convicted in Lab Referral Kickback Scam Case: Two doctors at a Maryland pain management clinic that prescribed pain relief medications to patients accepted kickbacks to … [Read more...]

FALSE CLAIMS

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

Maine Hospital Pays $1.51 Million to Settle False Claims Charges Case: The feds charged Mercy Hospital with overbilling Medicare and MaineCare for urinalysis tests. Rather than risk a trial, Mercy … [Read more...]

NEWS AT A GLANCE

Case of the Month: Lab Tests Play Key Role in $19 Million Detroit Opioid Scheme

A physician just pleaded guilty to ordering millions in medically unnecessary lab tests? So what else is new? Please pass the butter… Granted, stories like the Oct. 12 guilty plea of that physician … [Read more...]

ENFORCEMENT

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

Free Point of Care Test Cups Results in $64K Kickback Settlement Bill Case:The embers from the Millennium Laboratories case, which settled in 2015, continue to smolder. The latest collateral … [Read more...]

NEWS

OIG Work Plan Monthly Review: October 2017

Drugs continue to command the OIG's attention with three of this month's five new Work Plan items dedicated to the issue. Although none of the new items specifically address lab services, four of them … [Read more...]

ENFORCEMENT

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

Doctor Pleads Guilty for Ordering Unnecessary Tests of Opioid Patients Case: A 72-year-old Detroit area physician pleaded guilty for his role in a $19 million Medicare fraud scheme. In addition to … [Read more...]


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