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Aetna Sues Hospitals over Alleged Lab-Billing Scheme

25-bed Oklahoma hospital in town of 1,336 submits 10,000 lab claims for $21M in 16 months

CEO SUMMARY: In September, Aetna filed a lawsuit in Pennsylvania accusing 14 defendants—including a hospital, a hospital management company, eight lab companies or lab management companies, two physicians, and two individuals—of defrauding Aetna, its client employers, and its members. The lawsuit is an example of a lab test arrangement in which independent lab companies and […]

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