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
A roundup of recent cases and enforcement actions involving the diagnostics industry
November 30, 2021
Labs in Court
Use of Hospital’s NPI Enough to Establish Testing Labs’ Liability for Pass Through Billing
September 14, 2021
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
August 5, 2021
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
July 29, 2021
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
June 30, 2021
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
June 16, 2021
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
May 24, 2021
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
April 2, 2021
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
March 24, 2021
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
February 20, 2021
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...]
