Posts Tagged ‘medical necessity’
Court Reverses itself (in Part) in Laboratory Testing Case
A federal court judge in the District of Columbia has reversed his previous ruling that found Boston Heart Diagnostics Corp. was legally obligated to ensure the medical necessity of tests when submitting claims to Medicare. However, U.S. District Judge Reggie B. Walton did not go so far as to toss the lawsuit entirely, stating that…
Read MoreGenetic testing latest scam targeting Tricare
The Tricare program is once again the target of fraudulent claims. The health insurance program for members of the U.S. military, their family and retired military, has been bilked millions of dollars for unnecessary genetic tests and drug screening, according to media reports. The latest alleged Tricare scam goes something like this: Labs set up…
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