tci Part B Insider - 2018 Issue 7

Fraud & Abuse: Keep Lab Referrals and Claims on Point, Recent Enforcement Suggests

Extreme judgments may be a precursor of things to come. Time and again, fraudsters try to sidestep the feds’ wrath. And that’s why unlawful lab referrals and unnecessary testing remain a thorn in Medicare’s side. Last month’s junket of off-the-chart cases suggests enforcement agencies are just getting started. 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...

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