But when the federal government decided to intervene, the pressure to settle intensified.
#Snap diagnostics vs medicare professional#
Offering to interpret certain sleep tests of commercially insured patients and then providing the referring physicians an unsigned report-essentially a blank check that physicians could sign and use to seek reimbursement for the professional component of the test.The whistleblowers claimed that SNAP paid kickbacks for home sleep testing referrals by: In addition to defrauding five federal agencies, they accused SNAP of illegally multiplying the copays it received from Medicare beneficiaries.Īnd that’s not all. They claimed that the officers directed SNAP to submit claims for Medicare patients’ second and third nights of home sleep testing knowing that it needed only one night of testing to effectively diagnose OSA and that it routinely tested and claimed only one night for privately insured patients.
The most recent case began when whistleblowers filed a qui tam lawsuit against Chicago area-based national sleep lab SNAP Diagnostics and two of its officers.
False billing of home sleep tests to diagnose obstructive sleep apnea (OSA) has been on the radar of federal fraud enforcers and whistleblowers for nearly a decade.
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