CEO SUMMARY: Anthem charged 37-bed Sonoma West Medical Center in Sebastopol, Calif., of engaging in an improper billing scheme to defraud Anthem and its affiliated Blue Cross and Blue Shield plans. In effect, the charge is a notification to SWMC that Anthem intends to sue SWMC and its owner if it does not recover the $13.5 million in a timely […]
Anthem Seeks $13.5M from California Hospital
Threatens lawsuit over pass-through billing scheme, stops payment for urine drug tests
- By Joseph Burns
- > From the Volume XXV No. 4 - March 5, 2018 Issue
- Tags: anti kickback, anti kickback statute, billing service, Clinical Laboratory, false claims act, hospital laboratory, hospital laboratory outreach, lab management, lab test, laboratory equipment, laboratory outreach, laboratory outreach program, laboratory services, laboratory testing, management agreements, medical records, Medicare, pass through billing, pass through billing scheme
