UC San Diego Health, the academic health system of the University of California, San Diego, has agreed to pay $2.98 million to resolve allegations that it ordered medically unnecessary genetic testing.
The settlement resolves allegations that, from December 2015 to October 2019, UC San Diego Health ordered and submitted referrals for medically unnecessary genetic testing performed by CQuentia Arkansas Labs, CQuentia NGS, and Total Diagnostic II (collectively “the CQuentia labs”).
The government alleged that this conduct led to the submission of false claims for payment to Medicare for unnecessary genetic testing.
“Ordering unnecessary genetic tests creates a drain on vital government-funded health care programs like Medicare,” said U.S. Attorney Randy Grossman. “This settlement is another example of this office’s commitment to work with our law enforcement partners to hold medical providers accountable when their conduct leads to taxpayers bearing the cost of improper billing practices.”
The settlement was the result of a coordinated effort between the Civil Division’s Commercial Litigation Branch, Fraud Section, and the U.S. Attorney’s Office for the Southern District of California, with assistance from the U.S. Department of Health & Human Services Office of Inspector General and the FBI.
Defendant: UC San Diego Health
Crime: Ordering Unnecessary Genetic Tests
City and State: San Diego, California
Date: January 11, 2022
Sentence or Outcome: Paid $2.98 million to resolve allegations
Dollar Amount: $2.98 million
Defendant’s Status: Resolved
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Key Facts
- State: California
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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