Search results for: genetic testing
Clinical Lab Settles HIPAA Violation Case
A Georgia-based clinical laboratory recently agreed to pay $25,000 to The Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services to settle potential violations of the Health Insurance Portability and Accountability Act (HIPAA) Security Rule. That rule establishes national standards to protect individuals’ electronic personal health information (PHI) that…
Read MoreDOJ Launches Task Force Targeting COVID-19 Relief Fraud
Healthcare has always been ripe for fraud, so it’s no surprise that the COVID-19 pandemic created a wellspring of opportunities for those looking to make money off a tragedy. But getting away with it likely will become a lot harder, thanks to the creation of the COVID-19 Fraud Enforcement Task Force. Launched in May by…
Read MoreCOVID-19 Healthcare Fraud: It’s Started
A Georgia woman was arrested earlier this month in connection with a scheme in which she is alleged to have sought to pay and receive illegal kickbacks in exchange for referring Medicare beneficiaries for expensive cancer screening and COVID-19 tests. Loosened healthcare regulations, including blanket waivers of the federal Anti-kickback Statute (AKS) and physician self-referral…
Read MoreOIG Doubles Healthcare Fraud Recoveries in 2019
A September to Remember for Healthcare Fraud
Clinical Lab Industry Ripe for Fraud and Abuse
A former account rep for a toxicology testing company in Texas is the latest to be sentenced for his role in a Medicare fraud scheme that has become more common in recent years. Last month, Ivar Cantu was handed a 56-month sentence, to be followed by three years of supervised release, after pleading guilty to…
Read MoreFeds Step-up Crackdown on Fraudulent Billing for Compounded Meds
The recent indictment of a St. Petersburg physician who was charged with receiving illegal kickbacks for writing prescriptions for compounded medications serves to further highlight the federal government’s increased level of scrutiny over the industry. The facts of the latest case are as follows: Dr. Anthony Baldizzi was charged on June 23 with one count…
Read MoreClinical Lab Owner to Pay $13M to Settle False Claims Act Allegations, Faces Charges Relating to Sabotaging Competitor’s Business
A New Jersey-based clinical laboratory and its owner and CEO Eric Leykin of New York have agreed to pay $13 million to settle False Claims Act allegations involving the payment of illegal kickbacks and medically unnecessary lab testing.
Read MoreEighteen Charged in COVID-related Healthcare Fraud Resulting in $490M in False Billings and Theft
Eighteen Charged in COVID-related Healthcare Fraud Resulting in $490M in False Billings and Theft
Read MoreDME Company Owner Sentenced to Seven Years in Fraud Case
The owner of a durable medical equipment (DME) company in Fort Myers was sentenced to more than seven years in prison for his role in a scam that bilked Medicare and Medicaid out of $1.6 million. Earlier this year, North Miami resident Daniel Pintado Cazola, 42, pleaded guilty to one count of conspiracy to commit…
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