Calloway Labs Settles False Claims Act Case for $4.7M

Woburn, Mass.-based Calloway Laboratories has agreed to pay $4.7 million for submitting false claims to Medicare and West Virginia's Medicaid, according to the Department of Justice.

The government alleged Calloway Labs submitted fraudulent claims to Medicare and Medicaid for pathology services that were never provided from 2009 to 2013. The government further alleged Calloway Labs was performing a medical review of each urine sample it tested, which is not covered by Medicare or Medicaid, and improperly coded the reviews as pathology services before submitting the claim for reimbursement. 

"Medicare is the largest payer for clinical laboratory services and, therefore, is vulnerable to fraud, waste and abuse," said Gloria Jarmon, deputy inspector general for audit services, in the news release. "In addressing that vulnerability, HHS' Office of the Inspector General uses a multidisciplinary approach, including data-mining, audits, and, as appropriate, enforcement actions, to protect the integrity of HHS programs and recover taxpayer dollars."

More Articles on Healthcare Fraud:

3 Findings From Recent Medicaid Fraud Control Unit Reviews
$89M Judgment Entered Against Florida Oncologist in False Claims Act Case
3 Largest Whistle-Blower Payments in False Claims Act Cases in 2014

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

 

Featured Whitepapers

Featured Webinars