TAG:
lab fraud
How Private Payers Audit Labs for Possible Claims Fraud
By Virchow | From the Volume XXX, No. 14 – October 2, 2023 Issue
EDITORāS NOT…
Restitution and Guilty Plea in Two Lab Fraud Cases
By Robert Michel | From the Volume XXVIII No. 5 – April 12, 2021 Issue
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…
March 22, 2021 Intelligence: Late-Breaking Lab News
By Robert Michel | From the Volume XXVIII, No. 4 – March 22, 2021 Issue
This may be the nationās 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…
DOJ Delivers $6B Lab Fraud Crackdown
By Mary Van Doren | From the Volume XXVII, No. 14 – October 5, 2020 Issue
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…
DOJ $6B Fraud Crackdown Charges 345 Defendants
By Robert Michel | From the Volume XXVII, No. 14 – October 5, 2020 Issue
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…
DOJ Says Georgia Man Got Kickbacks for COVID-19 Tests
By Joseph Burns | From the Volume XXVII No. 6 – April 20, 2020 Issue
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…
CURRENT ISSUE
Volume XXXI, No. 5 – April 8, 2024
The fragmentation of consumer markets is reflected in clinical lab services, and The Dark Report examines this trend and how it will impact labs in the coming years. Also, The Dark Report notes that the FDA has issued a controversial memo to reclassify many high-risk IVD assays.
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