FOR IMMEDIATE RELEASE CIV WEDNESDAY, FEBRUARY 12, 1997 (202) 616-2765 TDD (202) 514-1888 CALIFORNIA HEALTH LAB PAYS U.S. $5.2 MILLION FOR MEDICARE FRAUD WASHINGTON, D.C. -- Meris Laboratories will pay the United States $5.2 million to settle allegations it submitted false claims for reimbursement of laboratory tests under Medicare and Medicaid, the Department of Justice announced today. Assistant Attorney General Frank W. Hunger of the Civil Division and U. S. Attorney Michael J. Yamaguchi of San Francisco, California, said the agreement settles claims that Meris defrauded Medicare and Medi-Cal, the California Medicaid program, by improperly billing them for various laboratory tests, including cholesterol and serum iron and for "additional indices" performed with complete blood count (CBC) tests. "Fraudulent billing like this contributes to the escalation of health care costs for all Americans," said Hunger. "The federal government is determined to catch those who perpetrate such fraud and prosecute them fully." The Department alleged that, beginning in 1992 and continuing until this year, Meris, a San Jose, California, clinical laboratory, defrauded the government. It routinely added medically unnecessary HDL cholesterol and serum iron tests to panels it performed on automated machines, then billed the health care programs separately for the tests, which physicians had not specifically ordered. The government also alleged that Meris defrauded the Medicare and Medicaid programs by routinely billing for additional CBC indices, which were not ordered by physicians and were not medically necessary. The additional indices, which are generated automatically by laboratory machinery at no extra cost to the laboratory, are merely manipulations of the results of other tests already included in a complete blood count and are rarely medically justified, the Department said. The Office of the Inspector General of the Department of Health and Human Services and Meris agreed separately to a "Corporate Compliance Agreement" in which Meris agreed to undertake measures to ensure compliance with applicable laws and Medicare rules and regulations in the future. The agreement settles a dispute originally brought as a qui tam case in the United States District Court in San Francisco in U.S. ex rel. Prendergast and Silveira v. Meris Laboratories, Inc., No. C-93-20549 JW. As part of the settlement, Janice Prendergast and Julia Silveira, who filed the suit on behalf of the U.S., will receive approximately $781,000. The case was conducted jointly by the Civil Division of the Department of Justice and the United States Attorney's office in San Francisco with the assistance of HHS's Offices of Inspector General in Washington, D.C., and San Francisco. ##### 97-065