DOJ Indicts Ten Individuals for Pass-Through Lab Test Billing Fraud

Defendants alleged to have used rural hospitals to submit $1.4 billion of lab test claims to private payers

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PASS-THROUGH LAB TEST BILLING SCHEMES involving rural hospitals and $1.4 billion in fraudulent lab test claims are at the core of multiple indictments announced recently by the federal Department of Justice (DOJ). Ten individuals—including laboratory owners, billing company executives, and hospital administrators—were charged in an elaborate pass-through billing scheme using four rural hospitals in three states to submit fraudulent bills for laboratory testing, federal officials …

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