PATIENT SAFETY

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

Free Testing Supplies to Physicians Costs Massachusetts Lab $1.374 Million Case: A federal court ordered Calloway Laboratories, Inc. to pay $1,374,058 to settle claims of falsely billing … [Read more...]

COMPLIANCE CORNER

Stark Relief: Change Seems Imminent but Less Dramatic than Industry Wants

CMS is giving serious indications of its willingness to entertain Stark Law relief. Back in June, CMS issued a Request for Information (RFI) seeking public comments and suggestions on changes to … [Read more...]

COMPLIANCE PLANS

TOOL: Model Specimen Processing Fees Compliance Policy

Here's a Model Policy your lab can adapt to ensure that specimen processing fee arrangements with referral sources don't violate the Anti-Kickback and Stark laws. … [Read more...]

WHISTLEBLOWERS

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

Texas Lab and Owner Get 15-Year Exclusion for Medicare Mileage Swindle Case: What would you do if your bill for a $43 blood test included a $1,500 travel fee? The patient who actually received such a … [Read more...]

ENFORCEMENT

Whistleblower Sues Montana Health System Officials for Elaborate Kickback Scheme

Case: The CFO of a Montana hospital physician network filed a qui tam lawsuit against his employer for paying physicians above-market compensation in exchange for referrals to network labs, … [Read more...]

ANTI-KICKBACK

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

Kickback Settlement Costs Pennsylvania Hospital $13.1 Million Case: The most expensive kickback settlement of 2018 to date features Post Acute Medical, LLC (PAM) in the starring role. The case … [Read more...]

ENFORCEMENT

Ohio Hospital System Settles Kickback Claims for $14.25 Million

Case: Mercy Health has agreed to pay $14.25 million to settle charges of having improper financial relationships with six referring staff physicians. The feds accused the Cincinnati-based nonprofit … [Read more...]

WHISTLEBLOWERS

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

HDL's Former CEO Pays $10 Million to Settle Bankruptcy Claims Case: Health Diagnostic Laboratory co-founder and former CEO Tonya Mallory has agreed to pay $10 million to settle claims brought by the … [Read more...]

STARK LAW

Brief Your CEO: Real Stark Law Relief Might Actually Happen

Fool me once, shame on you; fool me twice, shame on me. That may have been your reaction when you first heard about the new CMS Request for Information (RFI) seeking input on ways to alleviate the … [Read more...]

ANTI-KICKBACK

Ex-CEO of HDL Settles Bankruptcy Claims for $10 Million

Case: Health Diagnostic Laboratory co-founder and former CEO Tonya Mallory has agreed to pay $10 million to settle claims brought by the bankruptcy trustee in charge of liquidating HDL's assets. The … [Read more...]


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