Cancer Center Hit with $4.3 Million HIPAA Fine for Failure to Encrypt Case: The University of Texas MD Anderson Cancer Center was on the wrong end of the fourth largest HIPAA fine ever dished out by … [Read more...]
COURT CASES
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
July 13, 2018
COMPLIANCE
Enforcement Trends: New Fraud Takedown Focuses on Opioid Drugs & Sophisticated Financial Schemes
July 13, 2018
The 2016 health care fraud takedown was the biggest in history; the 2017 version surpassed it; and the June 2018 reprise nearly doubled the 2017 effort, at least in terms of the false claims dollars … [Read more...]
DOJ
Criminal Charges May Spell the End for Theranos
July 13, 2018
Four years ago, Theranos was a $10 billion company poised to turn a breakthrough blood testing technology into a diagnostics dynamo to the tune of $70 billion in annual sales. Today, the company … [Read more...]
COMPLIANCE
OIG Semiannual Report: Opioid Crackdown Is Making Labs a Prime Enforcement Target Once Again
July 9, 2018
Once the favorite whipping boy of federal enforcers, labs have been demanding less and less of the OIG's attention in recent years. But the newly published OIG Semiannual Report to Congress (covering … [Read more...]
FALSE CLAIMS
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
July 3, 2018
Insurer Sues Florida Lab and California Hospital for Toxicology Test Billing Scam Case: Anthem Blue Cross Blue Shield is suing Reliance Laboratory Testing for allegedly conspiring with … [Read more...]
ANTI-KICKBACK
Case of the Month: Jury Socks HDL Blood Test Fraud Principles with $114.1 Million Verdict
June 21, 2018
Roughly three years ago at this time, mega-scandals were in the news featuring diagnostic giants like Millennium, Health Diagnostic Laboratory (HDL), Biodiagnostic Laboratory Service and the like. But … [Read more...]
COMPLIANCE PLANS
OIG Work Plan Monthly Review: June 2018
June 21, 2018
None of the eight new Work Plan items for June directly address labs and lab testing. However, five of the items may indirectly labs that are part of larger health networks participating in the … [Read more...]
COURT CASES
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
June 19, 2018
Psychiatrist Pays $805K to Settle Urine Drug Test Billing Fraud Claims Case: The DOJ charged the owner of a Connecticut psychiatric practice of false billing of urine drug screening tests. The … [Read more...]
FALSE CLAIMS
Feds Target Providers Who Took Free Test Cup Kickbacks from Millennium Labs
June 18, 2018
Free point-of-care test cups from Millennium Labs have become radioactive. So far, at least six different providers have agreed to fork over significant amounts (ranging from $40K to $186K) to settle … [Read more...]
