United States Attorney Roger B. Handberg announced that Vista Clinical Diagnostics, LLC; Access Dermpath, Inc.; and Advanced Clinical Laboratories, Inc. have agreed to pay the United States, the State of Florida, the State of North Carolina, and the Commonwealth of Virginia $2,450,000 to resolve allegations that they violated the False Claims Act by submitting claims to Medicare and Medicaid that contained manipulated diagnosis codes. According to the settlement agreement, Vista Clinical Diagnostics, along with Access Dermpath and Advanced Clinical Laboratories, billed Medicare and Medicaid for clinical laboratory services using diagnosis codes that were generated by a macro and inserted into beneficiaries’ reimbursement submissions. This allegedly occurred during the period from January 1, 2017, through December 31, 2021. According to the allegations, these diagnosis codes were generated by the Defendants and not provided by the beneficiaries’ physicians.
