![]() ![]() “The message OIG wants to send to the health care community is that we take the certification process for EHR software very seriously. ![]() ![]() “We’re entering an entirely new era of health care fraud,” John O’Brien, OIG’s senior counsel, said in a 2017 video statement. Following its settlement with eClinicalWorks, the Department of Health and Human Service Office of Inspector General warned EHR vendors and others that it was cracking down on fraud. EHR-Related Settlements eClinicalWorks (May 2017) Remedies Aggressive enforcement and fines may help clean up the industry. Greenway, which filed a motion for dismissal, says it does not comment on pending litigation. The plaintiffs - a group of lung specialists in West Virginia, a neurology practice in Missouri, a Georgia pediatric group and an Arkansas family practitioner - allege that “Greenway’s misconduct” forced them to spend dozens of hours “trying to resolve the many errors with Prime Suite” and deprived “thousands of Prime Suite users” of the ability to apply for thousands of dollars in incen-tive payments for 2018. Four Greenway customers have filed a class-action suit against the company in U.S. The United States press release concerning the settlement can be read here.Electronic Health Records at no additional charge or allow them to transfer their data to another EHR software vendor at no charge. The settlement agreement in this case can be found here. ![]() Wallace for shedding light on Inform's reflexive testing practices," stated fellow Morgan Verkamp partner Chandra Napora. "When laboratories conduct medically unnecessary testing, they put profit over the fiscal soundness of our healthcare system. Their dedication to take that risk in the interest of protecting taxpayers and the public fisc is inspiring," said Sonya Rao, a partner at Morgan Verkamp. Wallace, take significant personal and professional risk to sound the alarm on fraud schemes. In the settlement, Inform admits that, from Januthrough January 31, 2018, Inform routinely and automatically conducted certain up-front stains on gastrointestinal and dermatological biopsy specimens without a pathologist's review of the routine stain and without an individual determination of whether the additional stain was medically necessary. Wallace.Īs part of the settlement, Inform has agreed to pay the United States $16 million. That investigation resulted in a settlement of False Claims Act allegations raised by Dr. The United States Attorney's Office for the District of Massachusetts led the investigation into Dr. Rather than perform only the laboratory tests ordered by physicians, Inform automatically and systematically ran additional tests, including special stains, without the treating physician's knowledge, consent, or order and without a pathologist's determination of medical necessity. The complaint alleged that Inform submitted false claims to federal healthcare programs, like Medicare, for medically unnecessary laboratory testing. The matter was filed in the United States District Court for the District of Massachusetts. Inform Diagnostics, Inc., and the case number is 19-cv-10091. Wallace, a former pathologist at Inform, filed suit against the laboratory in January 2019, alleging violations of the False Claims Act, a law that allows whistleblowers to bring a case on behalf of the United States that alleges fraud on the government. Inform is a clinical laboratory, headquartered in Irving, Texas, that provides clinical pathology laboratory services to physicians and medical practices nationwide.ĭr. Christopher Wallace, the law firm of Morgan Verkamp, LLC (with attorneys in Cincinnati, Ohio, Boston, Massachusetts, and Tampa, Florida) is pleased to announce that the United States has resolved allegations of medically unnecessary pathology testing with Inform Diagnostics, Inc., formerly known as Miraca Life Sciences, Inc. BOSTON and CINCINNATI, J/PRNewswire/ - On behalf of its client, Dr. ![]()
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