tci Medicare Compliance & Reimbursement - 2004 Issue 19

Labs: Blood Test Panels Now Under The OIG's Microscope

Allegedly padding panels with unneeded tests costs one lab $10 million.Labs could find that every commonly ordered blood test panel or profile they submit is rejected as fraudulent if any of their components are medically unnecessary. That nightmare scenario became a reality for Health Line Clinical Laboratories and its owners after two former employees blew the whistle and called into question seven years' worth of blood tests billed to Medicare and Medicaid. The U.S. Attorney's office in northern California revealed April 21 that it had resolved the charges after the Los Angeles-based lab agreed to a...

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