News  Cambridge Genetic Testing Facility to Pay $500,000 for Overbilling MassHealth

Boston — The Center for Human Genetics, Inc. (CHG) in Cambridge will pay $500,000 to resolve allegations that it overbilled the state’s Medicaid system (MassHealth) for certain genetic tests, Attorney General Maura Healey announced today.

“Genetic testing facilities provide critical information to families and doctors throughout Massachusetts,” said AG Healey. “Complying with MassHealth billing regulations ensures that our health care resources are not wasted and supports needed services for our residents.”

Under the terms of the settlement, CHG will pay $500,000 to resolve allegations that between January 2007 and April 2012, CHG submitted multiple incorrect billing codes for genetic tests, allowing the company to improperly bill MassHealth for hundreds of thousands of dollars of reimbursement claims.

The AG’s Office further alleged that CHG — at the instruction of its co-directors, Drs. Aubrey and Jeffrey Milunsky — delayed the results of certain genetic tests to patients while CHG billed MassHealth for additional claims.

In addition to the financial settlement, CHG and the Milunskys have agreed to comply with all state and federal laws and regulations in the future.  

The AG’s Medicaid Fraud Division is responsible for the investigation and prosecution of fraud against the state’s Medicaid program. In 2018 alone, the Division recovered more than $45 million for the state’s Medicaid program.

This matter was handled by Assistant Attorney General Philip Schreiber and Investigator Erica Schlain, of the AG’s Medicaid Fraud Division, with significant assistance from MassHealth.