Case: A 57-year-old doctor pleaded guilty to running an elaborate opioid distribution and insurance fraud scheme out of the Liberation Way addiction treatment center for whom he served as medical … [Read more...]
NEWS
New York Breaks Up $28 Million Medicaid Diagnostics Mill
August 14, 2019
Case: One of the biggest Medicaid diagnostics fraud schemes in recent memory has resulted in multiple convictions, including two doctors and two corporate presidents. According to New York … [Read more...]
ANTI-KICKBACK
Maryland Hospital Fined $457.2K for Free Support Services Kickbacks
August 9, 2019
Case: Union Hospital of Cecil County, Inc. has agreed to pay $457,213 for a pair of self-disclosed kickback violations, namely, paying remuneration to: Physicians in the form of free support … [Read more...]
FALSE CLAIMS
Kentucky Lab Pays $125K to Settle Self-Disclosed SVT False Billing Charges
August 2, 2019
Case: VerraLab JA, LLC, has agreed to pay $125,983 after self-disclosing that it billed Medicare for specimen validity tests (SVT) performed to authenticate urine samples for drug testing. Unlike the … [Read more...]
WHISTLEBLOWERS
Billing & Coding: Myriad Genetics Pays $9.1 Million to Settle Claims of Falsely Billing Medicare for Hereditary Cancer Tests
July 30, 2019
In March 2018, Myriad Genetics got a piece of mail no lab provider ever wants to see in its inbox: an OIG subpoena asking for billing records in connection with "an investigation into possible false … [Read more...]
COURT CASES
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
July 29, 2019
Drug Abuse Treatment Owner Guilty of $57 Million Drug Test Pass-Thru Billing Conspiracy Case: The owner of a northern Florida substance abuse treatment center pleaded guilty for his role in a … [Read more...]
NEWS
Healthcare ‘Trial of the Century’ Ends in Guilty Verdict against Esformes
July 25, 2019
Case: After a seven-week trial, a federal court convicted Florida healthcare executive Philip Esformes of 20 charges in carrying out a $1.3 billion Medicare fraud scheme, the biggest in history. In … [Read more...]
FALSE CLAIMS
Florida Providers Shell Out $733K+ for Self-Disclosed Lab Test Kickbacks
July 19, 2019
Case: The OIG entered into separate settlement agreements with the three providers involved in a self-disclosed kickback arrangement. Although the details weren't disclosed, Orlando Foot & Ankle … [Read more...]
COURT CASES
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
July 16, 2019
Feds Salvage $2.5 Million from $90 Million Genetic Testing Scam Case: The feds accused Nevada Heart & Vascular Center (NHVC) of taking kickbacks from a pair of now defunct genetic testing … [Read more...]
REIMBURSEMENT
Federal Jury Finds Trio Guilty of $3.5 Million Lab Kickback Conspiracy
July 12, 2019
Case: Three men from the Chicago area were convicted of taking bribes for sending blood, urine and saliva samples to St. Louis lab AMS Medical Laboratory, Inc. for testing subsequently billed to … [Read more...]
