Kickbacks

The HDL Saga Continues with $114 Million Verdict against Lab’s CEO and Marketing Principles

Health Diagnostics Laboratory, Inc. (HDL) has been gone for years but prosecution efforts targeting the massive kickback scandal it authored lives on. Naturally, the initial wave of actions targeted … [Read more...]

Labs In Court

Michigan Cardiologist Shells Out $2 Million to Settle False Billing Charges

Case: The feds claim that over an 11-year period the physician and his metropolitan Detroit area practice and lab sites violated the False Claims Act by billing Medicare, Medicaid and TRICARE for … [Read more...]

Kickbacks

Federal Court Upholds $114.1 Million Judgment against Principles of HDL and Singulex Scam

The Health Diagnostics Laboratory, Inc. (HDL) and Singulex kickback saga continues. In recent years, most of the action has been centered not so much on the labs themselves but on others involved in … [Read more...]

Labs in Court

Massachusetts Drug Testing Lab Shells Out $84K to Settle SVT False Billing Charges

Case: A urine drug testing lab in Massachusetts is the latest to settle self-disclosed charges of falsely billing Medicare for specimen validity tests (SVTs). While Medicare covers drug testing as … [Read more...]

Labs in Court

Texas Hospital Pays $48 Million to Settle False Claims and Kickback Charges  

Case: In one of the largest kickback settlements of 2020, Texas Heart Hospital of the Southwest, a partially physician-owned hospital, and its management company subsidiary (which we’ll refer to … [Read more...]

False Claims

The Liability Risks of Failing to Report Tests of Dubious Medical Necessity

What should your lab do if providers order tests that clearly don’t meet coverage criteria for medically necessary coverage criteria? A recent settlement involving Cordant Health Solutions charges of … [Read more...]

Enforcement Alert

OIG to Audit Medicare Part B Lab Testing During the Pandemic

Fraudulent and abusive billing of lab services has long been a favorite target of OIG enforcers. And with the unprecedented surge of COVID-19 testing during the public health emergency, it’s hardly … [Read more...]

Labs in Court

DME Company Must Pay $762K for Retaliating against Whistleblower

Case: A key account manager (KAM) filed a qui tam lawsuit against the medical device company that employer her for allegedly accepting kickbacks from a leading client. When the client found out that … [Read more...]

False Claims

Courts to Whistleblowers: No Lawyer, No Qui Tam Lawsuit

It takes a lot of gumption to sue your own employer for the good of the federal government. But while the False Claims Act (FCA) authorizes whistleblowers to file qui tam lawsuits on the government’s … [Read more...]

Enforcement Trends

COVID-19 Distractions Cause 2020 OIG Health Care Fraud Recoveries to Dip to 5-Year Low

Not surprisingly, the COVID-19 pandemic is hampering federal fraud fighting. The recoveries numbers bear this out. Here are the key findings from the OIG’s new Semi-Annual Report to Congress … [Read more...]


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