West Virginia Medicaid Recovers $17 Million for $8.5 Million Opioid Scam Case: A subsidiary of Acadia Healthcare Co. has agreed to pay $17 million to settle charges of falsely billing West … [Read more...]
NEWS
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
May 23, 2019
COURT CASES
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
May 21, 2019
New York Breaks Up Massive $28 Million Medicaid Diagnostics Mill Case: One of the biggest Medicaid diagnostics fraud schemes in recent memory has resulted in multiple convictions, including two … [Read more...]
FALSE CLAIMS
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
May 13, 2019
WV Hospital & Marketing Consultant Sued for Elaborate Kickback Scheme Case: A new DOJ lawsuit accuses a West Virginia non-profit hospital and its business consultant of seeking to dominate the … [Read more...]
ANTI-KICKBACK
Texas Pathology Lab Settles EHR Consulting Kickback Claims for $63.5 Million
May 2, 2019
Case: In 2006, HHS implemented an AKS safe harbor and Stark exception letting non-physician providers pay up to 85% of physicians' costs to help them transition from paper records to EHR systems. But … [Read more...]
CMS
Brief Your CEO: Notify Your Lab Execs of Upcoming Stark Law Changes
April 8, 2019
One of the best ways to score points with your lab's executives is to warn them about legal changes before they happen and while there's still time to prepare. And now you have an opportunity to do … [Read more...]
FALSE CLAIMS
Compliance Perspectives: How to Spot & Avoid Kickback Risks under New EKRA Law
April 1, 2019
A new law passed to deal with the opioid epidemic has significant ramifications for labs including but not limited to those involved in drug addiction and recovery programs. Specifically, the … [Read more...]
FALSE CLAIMS
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
March 27, 2019
56 Months' Jail for Lab Technician Caught in Texas Toxicology Scam Case: A former toxicology testing company account rep pled guilty to conspiring with a medical clinic lab technician to steal … [Read more...]
COURT CASES
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
March 25, 2019
$1.99 Million Settlement for False Billing of Genetic Tests Case: In a case that began as a whistleblower suit filed by two ex-employees, GenomeDx Biosciences has agreed to shell out $1.99 … [Read more...]
ANTI-KICKBACK
CMS Says Big Changes Are in Store for Stark Law by End of Year
March 25, 2019
The Stark Law is like the weather: Everybody talks about it but nobody does anything about it. But that all may be about to change if CMS Administrator Seema Verma is to be believed. During her recent … [Read more...]
STARK LAW
Wisconsin Health System Settles Stark Claims for $12 Million
March 21, 2019
Case: In a case that began as a whistleblower suit, a company affiliated with Advocate Aurora Health, Inc. has agreed to pay $12 million to settle claims of violating the Stark Law. The US and State … [Read more...]
