Quest diagnostics billing9/21/2023 While this settlement may be small compared to Quest Diagnostics’ overall Medicare/Medicaid business, a settlement between the company and the government in 2009 was not so insignificant. Moreover, the company noted that the settlement amount reflects one one-hundredth of one percent of the amount of money it receives from Medicare each year. Quest Diagnostics has maintained its blamelessness in the matter, citing a technological glitch. Of course, as the Department of Justice contends, this does not excuse the company from the alleged double billing, as the same blood draws could have been used to satisfy both orders. This is the process of withdrawing a sample of blood for the purpose of analysis or testing, and it’s usually accomplished by using a needle to puncture the cubital vein of the forearm.ĭuring the investigation, the Department of Justice unearthed documentation to support the notion that Quest Diagnostics was attempting to cover up this misconduct by pointing to records indicating that the same patient was ordered to have the same clinical workup performed by two different providers. More specifically, the company is alleged to have double-billed for thousands of venipuncture services. Instead of conducting the diagnostic services as instructed in the prescription, Quest Diagnostics allegedly submitted duplicative claims for reimbursement stemming from the same patient interaction. The Allegations Against Quest DiagnosticsĪccording to the allegations, the alleged misconduct spanned a period of at least ten years, ranging from 2004 through 2014.ĭuring that time, the laboratory would allegedly receive legitimate orders from practitioners for blood work and clinical panels. Your information will remain confidential. If you need to report healthcare fraud, please click here to fill out a contact form. In exchange for her efforts, she will receive $358,000 as her qui tam reward. The case was first brought to light by a former Quest Diagnostics employee who worked as a phlebotomist. According to the details of the settlement, Quest Diagnostics is alleged to have ordered and performed duplicative tests, upcoded certain tests, and overbilled the government for its services. In today’s case, we review a recent $1.8 million settlement between well-known laboratory chain Quest Diagnostics and the Department of Justice. If a provider fails to adhere to the Medicare guidelines, it could quickly face liability under the False Claims Act for unlawfully billing the government in violation of established regulations. Under the guidelines of Medicare Part B, enrollees are entitled to coverage for medically necessary and essential diagnostic services, including bloodwork, x-rays, and similar imaging examinations. ![]() Within 60 – 90 days from the service date you should expect an invoice.SeptemHealthcare Fraud Quest Diagnostics to Pay $1.79 Million to Settle Fraud Claims How long will it take to receive my invoice? Yes we offer payment plans over a 12 month period. They will be more than happy to facilitate this request. Please call the lab and ask for the billing department. Labtech Diagnostics bills for co-payments when notified to do so by the insurance company. It is a tool used by the insurance companies to offset the cost of healthcare and it is usually a small or fixed amount. This is the amount as defined in your insurance policy that is owed by the patient, after the insurance has processed your claim. Labtech Diagnostics bills for deductible amounts when notified to do so by the insurance company. This is the amount that is required by your insurance carrier to be paid by the subscriber before health plan benefits will begin to reimburse for services. You might have visited one of our Patient Service Centers, or your specimens were collected at your doctor’s office and we picked them up. Your physician ordered laboratory testing and contacted us to perform these services. ![]() Why am I receiving a bill from Labtech Diagnostics?
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