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Billing fraud & false claimsNew in this edition

Tiero founder indicted over false laboratory claims for home COVID tests

The Tiero founder’s indictment alleges laboratory-style billing for shipped, self-administered COVID tests using false CLIA and claim information. DOJ alleges more than $100 million claimed and $50 million paid. The pending charges concern representations about actual services, rather than a general ban on home testing.

What happened

An October 9 federal indictment charges Marc Aaron Potash, founder and CEO of Tiero LLC, with healthcare-fraud conspiracy, seven substantive fraud counts and five transactions involving criminally derived proceeds. DOJ alleges that the January 2022–May 2026 scheme submitted false claims to Medicare, Medicaid, the Federal Employees Health Benefits Program and other insurers. The alleged conduct includes false documents submitted to Maryland authorities to obtain CLIA certification and representations that clinicians performed testing at the company’s laboratory.

According to the indictment, Tiero instead shipped over-the-counter, self-administered COVID tests while claims listed false dates, places of service and rendering providers. DOJ alleges more than $100 million in false claims and more than $50 million in payments, neither of which is a fine or completed recovery. The defendant is presumed innocent, and the release’s possible prison terms depend on conviction. The case-specific issue is the mismatch between shipped products and the laboratory services represented to regulators and payers. Verification should connect certification representations with the actual test, location and provider reported on each claim.

Scope and timing

Authority status
Pending litigation
Applicability
Operationally relevant
Audience
Health systems, Provider networks
Jurisdiction
Federal

Why it matters

The alleged scheme used false CLIA documentation, service dates, locations and rendering providers for shipped self-administered tests.

Case details

agencies
DOJ, HHS-OIG, FBI, OPM-OIG
entities
Marc Aaron Potash, Tiero LLC
action Type
Criminal charge
event Date
2026-10-09
alleged Conduct
Alleged false laboratory claims and CLIA representations for shipped self-administered COVID tests.
resolution
Indictment; allegations remain unproved.

Operational lessons

  • Verify CLIA representations and every claim's actual service, date, site and rendering provider.

Sources

Complete edition and supplemental material

This finding in the complete approved report →

Regulatory horizons, CIA trends and implementation trackers remain in the full report.

Read the entire Enforcement Briefing report →

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