https://www.gao.gov/assets/660/655442.pdf
GAO reviewed pathology self-referral in 2013. At first, I thought, this was about pathologists ordering tests to complete a service, an odd exemption in Medicare law that has never been very explicitly defined. (If you think you see TB bacilli, you can order a TB stain. I don't think, if you see breast cancer, you can order an Oncotype Dx test. However, the point is, the gray zone isn't well-defined in regulations).
However, the report on "self referral" was directly more at e.g. urologists employing (sic) pathologists. Anyway, it's at the link above.
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