BC Advantage - 2025 Issue 12

Spotlight on November 2025 FWA

The following cases highlight fraud, waste, and abuse (FWA) and serve as a reminder to uphold high ethical standards when providing patient care and services.  Diagnostic Laboratory Agrees to Pay More Than $9 Million to Settle Alleged False Claims Act Violations A diagnostic laboratory headquartered in Indianapolis, Indiana, agreed to pay the United States $9,620,000 to resolve allegations that it violated the False Claims Act and the Anti-Kickback Statute (AKS). The government alleges that the lab knowingly submitted claims to Medicare for respiratory pathogen panels (RPPs) that were either medically unnecessary or obtained through kickbacks. The...

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