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lab fraud

How Private Payers Audit Labs for Possible Claims Fraud

EDITORā€™S NOT…

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Restitution and Guilty Plea in Two Lab Fraud Cases

CEO SUMMARY: In one case, owners and a sales rep agreed to pay restitution totaling almost $10 million. In the second case, three defendants pled guilty to federal charges involving payment or receipt of kickbacks and illegal inducements. A fourth defendent in this second case, a ph…

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March 22, 2021 Intelligence: Late-Breaking Lab News

This may be the nationā€™s first federal case of fraud and abuse involving a clinical laboratory company specializing in microbiome testing. In San Francisco last week, federal prosecutors filed multiple criminal charges against bankrupt uBiome, formerly based in San Francisco, Jessica Richman…

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DOJ Delivers $6B Lab Fraud Crackdown

This is an excerpt of a 1,028-word article in the October 5, 2020 issue of THE DARK REPORT (TDR). The full article is available to members of The Dark Intelligence Group. CEO SUMMARY: In this latest lab fraud crackdown, Department of Justice cases involvingĀ clinical labs or molecular te…

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DOJ $6B Fraud Crackdown Charges 345 Defendants

CEO SUMMARY: Department of Justice cases involvingĀ clinical labs or molecular test claims may represent about halfĀ (or about $3 billion) of the total fraudulent claims. Those claimsĀ stem from genetic testing, urine-drug and other tests, andĀ healthcare services, the DOJ said. In additi…

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DOJ Says Georgia Man Got Kickbacks for COVID-19 Tests

JUST WEEKS AFTER THE FIRST CASES OF SARS-CoV-2 appeared in the UnitedĀ States, federal prosecutors filed criminalĀ charges in a COVID-19 lab test fraudĀ scheme. Erik Santos, 49, of Braselton, Ga.,Ā was charged with conspiracy to defraudĀ federal and private healthcare programsĀ by submitting fraudule…

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