Blue Cross Lawsuit Against Avee Attacks Point of Care Testing

A recent lawsuit by Horizon Blue Cross/Blue Shield of New Jersey has the potential to cripple point of care testing arrangements often employed by drug and alcohol treatment centers. At risk is not only the roughly $36 Million sought to be recouped by BC/BS, but also perhaps the many millions more which may be claimed by other payers as well.

BC/BS is making serious allegations against Avee Laboratories, Alere, Inc., and a number of recovery centers. The factual allegations include: 1.Avee used false and deceptive marketing materials to get recovery centers to order medically unnecessary tests.

2.They offered unlawful inducements to encourage healthcare providers to order POCT.

3.They provided medically unnecessary POCT.

4.They referred their patients to Avee for unnecessary confirmatory testing.

The drug and alcohol treatment community is watching the case closely to see how it may impact (1) their involvement with POCT, and (2) their relationships with tox labs. Activities like the provision of free or reduced fee POCT cups and routine copay or deductible waivers are also mentioned in the suit as being suspect and illegal.

The drug and alcohol treatment community is not the only link in the chain for whom the suit is relevant. Many medical providers perform POCT, including physicians specializing in treating pain. And many of those providers have had communications with tox labs that sound remarkably similar to the ones described in the lawsuit.

The case is very instructive because embedded in it are compliance related suggestions, some of which may not be apparent to many healthcare service providers, like:

1.Confirmatory testing of negative POCT results requires the healthcare provider has documented clinical reasons to believe the negative POCT was inaccurate or inconclusive.

2.Clinical labs must have a compliance program to detect and prevent healthcare providers from performing unnecessary POCT and ordering unnecessary confirmatory testing.

3.A clinical lab may not offer below market value POCT tests and consulting agreements in order to induce healthcare providers to refer tests.

4.Labs may not waive patient financial responsibility to induce healthcare providers to refer urine specimens to the lab.

It is probably common sense to expect that, with claims that amount to this dollar volume, payers are going to pay particular attention to toxicology labs. The suit is a -shot across the bow- of the POCT and tox lab industry. Compliance is king in these arrangements, and all healthcare providers need to look closely at regulatory compliance.

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Guidelines To Hire A Family Law Attorney

Divorce and family law attorneys in Gloucester County, New Jersey help individuals in issues regarding family matters, care of the elderly, retirement planning, and estate administration. These lawyers additionally represent people contemplating divorce, separation, applying for child custody or retirement.

A family lawyer has to deal with cases that involve divorce, child support / custody/ visitation rights, paternity suits, adoption, restraining orders, domestic abuse, enforcement actions / contempt, post judgment motions, pre- and post-nuptial agreements, and many more.

A majority of family law services are billed on a flat fee basis or at an hourly rate. A pre-payment is usual and the fees will differ depending on the complication of the legal issue. Contested divorces where the parties disagree on various key issues present more complexities and so the lawyer charges are more. Uncontested divorces where the parties have solved the key issues amicably are billed for a lesser amount.

These are the important things to keep in mind while hiring a family law attorney in Gloucester:

* Do not feel obliged to select the first family law attorney you speak to. Instead speak to more than one lawyer and then select one who you feel best understands the complexities of your legal situation.

* When you hire an attorney, select someone who is specialized in the area in which you need help. You may not help yourself by hiring a general attorney with little or no experience in the type of charges you are going to file or are facing.

* You are supposed to additionally receive customer services from the law firm. It is the right of the client to get benefits such as help in paperwork, information gathering, and so on. Ask whether the firm will help you with these.

* Clarify the fees as well as the hidden costs. You need to know how much fees you have to pay for hiring the services of the lawyer. It is advised that you compare the service charges of various attorneys before you choose one to handle your case.

* You need to be aware of the details of the case you have filed or the charges you are facing. Do not let your attorney deceive you into believing that case is extremely complicated and hence merit higher service charges. Also, read similar cases and why they succeeded or failed. Keep yourself abreast with the latest laws which you have to deal with.

To consult any family law attorney- Gloucester (NJ) residents along-with the dwellers of neighboring areas may click on www.cuneolawoffice.com. The seasoned lawyers at the office of David K. Cuneo are knowledgeable and experienced enough to handle even the most complex of legal matters.

Family law attorney Gloucester NJ – The Law Offices of David K. Cuneo provides the highest quality of legal services in criminal defense, personal injury & family law cases to their clients.