Medical testing provider Laboratory Corp. of America will pay $49.5 million to the state of California to settle a lawsuit alleging illegal overcharges to the state’s medical program for the poor, according to a news release from Attorney General Kamala D. Harris.
The settlement is the result of a whistleblower suit filed in 2005. It claimed Lab Corp. and other medical laboratories systematically overcharged the Medi-Cal program for more than 15 years and gave illegal kickbacks to physicians, hospitals and clinics that referred Medi-Cal patients to the labs. These alleged kickbacks came in the form of discounted or free testing.
The suit claims Lab Corp. charged Medi-Cal more than five times as much as it charged other customers for certain tests. For example, it was accused of charging Medi-Cal $35.04 to test for total testosterone, while it allegedly charged another customer $7.36 for the same test.
After payment of the whistleblower share, the government will receive $35.15 million as a result of this settlement.
Related Articles on Healthcare Fraud and California:
Owner of California’s Unity Outpatient Surgery Center Convicted in $154M Insurance Fraud Scheme
California Oncologist Sentenced to 18 Months in Prison for Fraud Scheme
Co-Owners of California Healthcare Companies Await Sentencing for Medicare Fraud Scheme
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
