Urine Drug Testing Scrutiny - DoctorsManagement Urine Drug Testing Scrutiny - DoctorsManagement

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THE COMPLIANCE GUY BLOG

Urine Drug Testing Scrutiny

April 19, 2021

by Sean Weiss, Partner & VP of Compliance

Urine Drug Testing (UDT) continues to be scrutinized closely by all payers as well as governmental investigators. Another settlement agreement was recently entered into by a pain management company to resolve allegations of False Claims.

“The United States alleged the group knowingly submitted the submission of false claims to federal health care programs for presumptive and definitive UDT. Testing was not medically reasonable or necessary. Presumptive UDT are tests that screen for the presence of drugs, and definitive UDT are tests that identify the concentration of those drugs in a patient’s system. The group automatically ordered both UDTs for all patients at their monthly visits, without conducting individualized determinations of need or risk profile”.

“This settlement resolves allegations originally brought in a lawsuit filed by a whistleblower under the qui tam provisions of the False Claims Act. The whistleblower will receive $118,911.12 as her share of the federal recovery in this case.”

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