New York Doctor Busted for Falsely Billing Medicaid for Lab Drug Tests
Case: The State claims that the physician billed for $939,000 worth of drug testing services that his lab didn’t and couldn’t actually provide. For example, instead of charging for a single test on a patient, he charged for 11 nonexistent tests. Other alleged offenses include performing medically unnecessary services and operating the lab without a director. Significance: This case is typical of the current pattern of health care fraud enforcement—focus on drugs and drug testing and sweep in all related charges, in this case violating federal and state requirements that labs employ a director to oversee operations.
Case: The State claims that the physician billed for $939,000 worth of drug testing services that his lab didn’t and couldn’t actually provide. For example, instead of charging for a single test on a patient, he charged for 11 nonexistent tests. Other alleged offenses include performing medically unnecessary services and operating the lab without a director.
Significance: This case is typical of the current pattern of health care fraud enforcement—focus on drugs and drug testing and sweep in all related charges, in this case violating federal and state requirements that labs employ a director to oversee operations.
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