tci Medicare Compliance & Reimbursement - 2018 Issue 11

Fraud & Abuse: Watch Your Lab Referrals and Claims or Pay the Price

Fraud enforcements bring hefty fines - and prison. Unlawful lab referrals and unnecessary testing remain a thorn in Medicare's side. Last month's junket of extreme judgments may be a precursor of things to come. 3 for 3: A trio of physicians with practices spanning three separate states settled with the Department of Justice (DOJ) over referral and false claims violations related to their relationship with Universal Oral Fluid Laboratories (UOFL) out of Greensburg, Pennsylvania. The doctors - Robert Fetchero, DO, of Jeannette, Pennsylvania, Sridhar Pinnamaneni, MD, of Windermere, Florida, and Thelma Green-Mack, MD, of Zionsville, Indiana - were found...

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