Attorney General Ashley Moody’s Medicaid Fraud Control Unit secured a payment of more than half a million dollars to Florida Medicaid from laboratory services providers. Attorney General Moody’s MFCU, along with the federal government, the state of North Carolina and the Commonwealth of Virginia, secured the recovery from Vista Clinical Diagnostics, LLC, Access Dermpath, Inc., and Advanced Clinical Laboratories, Inc.—companies alleged to have violated the Federal False Claims Act and the False Claims Acts of the respective states by submitting false or fraudulent claims for laboratory testing to Medicaid and Medicare. The agreement resolves allegations that the defendants manipulated diagnosis codes manually, and/or electronically by generating and inserting diagnosis codes, into reimbursement submissions for laboratory services. The beneficiary’s referring provider or physician did not provide these diagnosis codes.
