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medicaid fraud

Florida AG Opposes Bill Over Customary Charges

CEO SUMMARY: It was a surprise to the Florida Attorney General that a bill had surfaced in the Florida Legislature to amend the existing state law’s definition of usual and customary pricing to the Medicaid program. The bill would even make that change in definition retroactive. If this…

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October 26, 2015 Intelligence: Late Breaking Lab News

Describing “nutritional chemistry and food safety as an exciting growth opportunity,” CEO David King of Laboratory Corporation of America announced his company’s recent acquisition of International Food Network and The National Food Laboratory. Terms of the deal were not announced. Some analys…

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Calloway Labs Settles with Feds, West Virginia

CEO SUMMARY: West Virginia is the second state in recent years to settle claims of Medicare and Medicaid fraud filed against Calloway Laboratories of Woburn, Massachusetts. Last month, the pain management lab company agreed to pay $4.675 million to resolve that case, while not admitting l…

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Georgia Lab Pays Docs For Urine Test Referrals

CEO SUMMARY: Physicians could make $400 or more per sample, according to one physician. But under the federal Stark Law, the federal Anti-kickback Law, and under Florida state law, physicians and other healthcare providers are prohibited from referring patients or doing work for kickbacks…

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Medicaid Suits in Two States Accuse Quest, LabCorp of Fraud

RECENTLY TWO WHISTLEBLOWER LAWSUITS, each alleging Medicaid fraud by Quest Diagnostics Incorporated and Laboratory Corporation of America, have become public knowledge. One case is in Virginia and the other case is in Georgia. Both lawsuits were filed by Hun…

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Mass. AG Coakley Cites Two Labs in 48-Count Medicaid Kickback Case

MASSACHUSETTS ATTORNEY GENERAL Martha Coakley has cited two lab companies in a case involving kickbacks related to drugs of abuse testing. Coakley’s office made the announcement on March 8. Coakley alleges that fees were collected from patients illegally and that prescriptions for medications were…

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Ampersand Buys Calloway Labs, Enters Pain Management Market

URINE DRUG TESTING for pain management may be a challenging business for clinical labs given that compliance officers in the states and in the federal government have successfully pursued lab compliance abuses in this line of business in recent years. Now comes news that private equity firm …

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In Massachusetts, AG Targets Drug Testing Labs

CEO SUMMARY: Since taking office in 2007, Massachusetts Attorney General Martha Coakley has aggressively pursued civil charges against drug testing labs. Last month, Coakley announced a criminal arrest in one ongoing investigation after a grand jury indicted a physician in a kick…

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New Lab Company to Buy Westcliff, Health Line

CEO SUMMARY: In Southern California, no one’s talking for the record, but everyone’s talking about the impending acquisition of Westcliff Medical Laboratories and Health Line Clinical Laboratories by a new laboratory company. The deals are expected to close by the end of this month. T…

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January 16, 2006 “Intelligence: Late Breaking Lab News”

In recent months, the buzz around the lab industry in Southern California has been that Healthline Clinical Laboratories, Inc. is up for sale. THE DARK REPORT believes news of a sales agreement is imminent. The new buyer is likely to be a pair of looking-for-work lab executives in th…

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