Labs In Court

A roundup of recent cases and enforcement actions involving the diagnostics industry

Florida Lab Owner Gets 82-Month Jail Sentence for Telemedicine Genetic Test Ripoff Case: The Florida owner of multiple diagnostic labs will be spending 82 months in a federal prison after being … [Read more...]

Labs in Court

Use of Hospital’s NPI Enough to Establish Testing Labs’ Liability for Pass Through Billing

Case: Licensees of Blue Cross and Blue Shield Association sued individuals and entities allegedly involved in a pass-through scheme for toxicology and blood tests billed from a small rural hospital in … [Read more...]

Labs in Court

Florida Telemarketers Indicted for $47 Million Genetic Test Fraud Scheme

  Case: A federal grand jury indicted three telemarketing company owners for a smorgasbord of fraud, kickback and money laundering violations that allegedly cost Medicare $47 million medically … [Read more...]

Enforcement

Fraud Recoveries Grow as Feds Target Telemedicine and COVID-19 Add-On Test Scams

Despite the COVID-19 pandemic and continued sequestration of enforcement funds, the federal Health Care Fraud and Abuse Control Program (Program) reversed recent trends and recovered more money in FY … [Read more...]

Labs in Court

Florida Telemarketers Indicted for $47 Million Genetic Test Fraud Scheme

Case: A federal grand jury indicted three telemarketing company owners for a smorgasbord of fraud, kickback and money laundering violations that allegedly cost Medicare $47 million medically … [Read more...]

Labs in Court

Colorado Grand Jury Hands Down First of What Promises to Be Many COVID Relief Fraud Indictments

Case: Almost from the moment Congress passed COVID-19 relief programs, federal enforcement agents have been sounding the warning on relief fraud scams. And now the prosecutions have begun. In one of … [Read more...]

Labs In Court

A roundup of recent cases and enforcement actions involving the diagnostics industry

California Pulmonologist Shells Out Over $200K to Settle Kickback Charges Case: The former CEO of a California hospital filed a whistleblower suit accusing the hospital and at least two of its … [Read more...]

Labs in Court

Florida Court Upholds Conviction of Physician at Center of Massive Drug Test Scam

Case: In February 2019, the physician/medical director of a pair of sober home clinics in clinics was sentenced to 11 years in prison and ordered to pay $1 million in restitution for his role in a … [Read more...]

Labs in Court

Patient Recruiter Found Guilty of Running Telemarketing CGx Testing Scheme

Case: After a four-day trial, the owner of an Orlando telemarketing call center was found guilty of running a $2.8 million cancer genetics screening test scam (CGx) targeting seniors in Medicare. The … [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...]


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