ANTI-KICKBACK

Case of the Month: Jury Socks HDL Blood Test Fraud Principles with $114.1 Million Verdict

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...]

SETTLEMENT

Connecticut Hospital Settles Self-Disclosed Stark Violations for $423K

Case: A major settlement in Connecticut in June was authored by Hartford Hospital after it made the mistake of leasing office space to a physician practice (and Medicare referral source) at below … [Read more...]

STARK LAW

CMS Mulls Stark Law Relief: This Time It May Be for Real

After decades of complaining about the Stark Law, the lab industry may now have an actual opportunity to secure meaningful relief. On June 20, CMS issued a Request for Information (RFI) seeking input … [Read more...]

COURT CASES

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

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...]

FALSE CLAIMS

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

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...]

COURT CASES

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

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

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

Ohio Hospital System Settles Kickback Claims for $14.25 Million Case: Rather than risk a trial, Mercy Health will pay $14.25 million to settle charges of entering into improper financial … [Read more...]

ANTITRUST

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

Breast Cancer Recurrence Test Billing Case Ends in $2 Million Settlement Case: BioTheranostics has agreed to shell out $2 million to settle claims of falsely billing Medicare for its molecular Breast … [Read more...]

ANTI-KICKBACK

Compliance Perspectives: New Stark Rules Offer Some Physician Kickback Relief but Not Nearly Enough

As a lab compliance officer, you have better things to do with your time than read government budget bills. But what you do need to know is that the new federal Bipartisan Budget Act of 2018 includes … [Read more...]

COMPLIANCE

Physician Referrals: New Rules Offer Some Stark Law Relief but Not Nearly Enough

Like most budget bills, the new federal Bipartisan Budget Act of 2018 includes a number of changes to Medicare fraud and enforcement requirements. One set of changes affects the current physician … [Read more...]


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