Under the settlement, Genova has agreed to pay approximately $17 million, through the surrender of claim funds held in suspension by Medicare and TRICARE, plus up to an additional $26 million if certain financial contingencies occur within the next five years, for a total potential payment of up to $43 million.Â. A free inside look at company reviews and salaries posted anonymously by employees. The MNG Laboratories Advantage MNG combines internationally recognized expertise in biochemical and molecular testing to create the most comprehensive testing available. Our Labs Serving healthcare providers to improve patient care and satisfaction by providing faster & better results, to enhance the quality of peoples lives. The United States partially intervened in this and two related actions on March 31, 2015, and is continuing to pursue claims against the remaining defendants: Latonya Mallory, the former CEO of Health Diagnostics Laboratory Inc., and marketing company BlueWave Healthcare Consultants Inc. and its owners, Floyd Calhoun Dent III and Robert Bradford Johnson. The government’s complaint further alleged that these illegal practices resulted in medically unnecessary cardiovascular tests being charged to federal healthcare programs. founded in 1997, serves primarily as a reference laboratory for Polymerase Chain Reaction (PCR) based testing to physicians, laboratories and hospitals worldwide. “The goal for our qui tam unit is to protect taxpayers, patients, and soldiers by ensuring that important decisions are made according to medical science and engineering, and not based on dollar signs.”, “This settlement is part of the government’s ongoing efforts to address conduct that allows medical decisions to be influenced by money rather than the best interests of patients,” said U.S. Attorney Channing D. Phillips of the District of Columbia. The lawsuit was initially filed by Dr. Michael Mayes under the qui tam, or whistleblower, provisions of the False Claims Act. Genova Diagnostics Inc., a clinical laboratory services company based in Asheville, North Carolina, has agreed to pay up to approximately $43 million to resolve allegations that it violated the False Claims Act, including claims that it billed  for medically unnecessary lab tests, the Department of Justice announced today. “The Office of Inspector General will continue to work aggressively to eliminate this type of behavior which ultimately drives up healthcare costs and eliminates fair competition.”. A lock (LockA locked padlock) or https:// means you’ve safely connected to the .gov website. The government’s intervention in this matter illustrates the government’s emphasis on combating health care fraud. Physicians refer their patients to independent laboratories like Berkeley to conduct tests on blood samples. “We rely on doctors to provide honest, independent recommendations regarding clinical testing,” said Acting Assistant Attorney General Chad A. Readler of the Justice Department’s Civil Division. “The OPM OIG is committed to ensuring the integrity of the Federal Employees Health Benefits Program, which depends upon fair and honest accountings by providers,” said Thomas W. South, Deputy Assistant Inspector General for Investigations, Office of Personnel Management, Office of the Inspector General. West Hills Hospital and Medical Center (United West Labs) Filing an AMCA Lawsuit. A .gov website belongs to an official government organization in the United States. Creditors Seek to Question Former HDL Executives about How It Ended in Bankruptcy. The Anti-Kickback Statute also prohibits routinely waiving patient copayments to ensure that patients are appropriately incentivized to refuse unnecessary tests. A New Jersey medical office has filed suit against Cigna, alleging that the insurer failed to pay for diagnostic testing and treatment related to COVID-19 in violation of the CARES Act. The act permits the United States to intervene in and take over a whistleblower suit. The United States partially intervened in this and two related actions on March 31, 2015, and is continuing to pursue claims against the remaining defendants: Latonya Mallory, the former CEO of Health Diagnostics Laboratory Inc., and marketing company BlueWave Healthcare Consultants Inc. and its owners, Floyd Calhoun Dent III and Robert Bradford Johnson. BALLYDAVID, Ireland-- One of America's largest labs reached a 7.5 million euro ($8.76 million) settlement on Thursday with an Irish woman who … Two class-action lawsuit have been filed against Teterboro-based Infinity Diagnostics Labs, a company that sold kits that promised rapid coronavirus test results that were actually antibody tests, according to the lawsuits. Share sensitive information only on official, secure websites. founded in 1997, serves primarily as a reference laboratory for Polymerase Chain Reaction (PCR) based testing to physicians, laboratories and hospitals worldwide. to pay $6 million to resolve a lawsuit by the United States alleging that. The government’s intervention in this matter illustrates the government’s emphasis on combating health care fraud. Diagnostic Excellence, Innovation & Education Partnering with the Podiatry community Molecular Diagnostic Experts Identifying genetic materials for onychomycosis Insight from Experts Diagnostics and therapeutic solutions for podiatrists Expertise in Microbiology In-house mycology and bacteriology The same lab charged me $250.00 for … Just a month later, on August 18, 2017, Next Health and one of the toxicology lab companies (Medicus Laboratories) named as a defendant in the UnitedHealth case filed their own lawsuit against the federal Secretary of Health and Human Services. Find more than 541 complaints, scams, lawsuits and frauds reported for Medical Laboratories companies on Health & Fitness topic “Labs are expected to bill taxpayer-supported federal health programs for medically necessary services, not pad their bottom lines as alleged by the government in this case,” said Derrick L. Jackson, Special Agent in Charge for the Office of Inspector General of the U.S. Department of Health and Human Services.  “We will continue working with our law enforcement partners to safeguard these vital programs.”, “The results of this investigation highlight another step forward by the Defense Criminal Investigative Service (DCIS) and its law enforcement partners to root out fraud and corruption involving medical professionals who undermine the integrity of the Department of Defense,” said Special Agent in Charge Robert E. Craig Jr., DCIS Mid-Atlantic Field Office. The agreement resolves allegations brought by Darryl Landis under the qui tam, or whistleblower, provisions of the False Claims Act.  The False Claims Act permits private citizens to bring a lawsuit on behalf of the United States for fraud and to share in any recovery. According to the government’s complaint, Berkeley paid kickbacks to referring physicians disguised as “process and handling” fees. Aetna Second Big-Name Payer to Sue Health Diagnostic Laboratory 1:17-cv-341 (W.D.N.C. The cases is captioned United States ex rel. 1 – January 9, 2017 Issue ONE WAY THAT A CLINICAL LAB can fight back against insurers who refuse to pay lab test claims is to sue them. In such cases, a medical malpractice lawsuit can be filed. An official website of the United States government. Medical Diagnostic Laboratories, L.L.C. This matter was investigated by the Civil Division’s Commercial Litigation Branch, the U.S. Attorney’s Offices for the District of South Carolina and the District of Columbia, FBI’s Columbia Field Office and the FBI Healthcare Fraud Unit Major Provider Response Team (MPRT), HHS-OIG, the U.S. Office of Personnel Management’s Office of Inspector General, and the Department of Defense’s Office of Inspector General Defense Criminal Investigative Service. Sky Labs, which operates as a group of related out-of-network diagnostic laboratories, duped Cigna into paying over $20 million in claims. Contemporaneous with the civil settlement, Genova entered into a five-year Corporate Integrity Agreement (CIA) with the Department of Health and Human Services Office of Inspector General.  The CIA requires, among other things, that Genova establish and maintain a compliance program with specific requirements and that it engage an independent review organization. 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