January 15, 2021

A diagnostic laboratory, Exceltox, will pay $357,584 to resolve allegations that it violated the False Claims Act by submitting or causing to be submitted claims for genetic tests to Medicare without valid physician oversight. The settlement agreement says that the company used the services of contractor Seth Rehfuss, who persuaded groups of senior citizens in senior housing complexes to submit to genetic testing despite applicable Medicare rules requiring proper orders from a treating physician for such tests. Exceltox, in turn, submitted claims for payment to Medicare for Rehfuss’ genetic tests performed without valid physician oversight. Read a Department of Justice press release and a previous story that we ran on Rehfuss.

If you suspect Medciare fraud, contact Ohio SMP – 1-800-488-6070 option 7, use the “Report Fraud” button on this App or click here.

Source: SMP Resource Center