ENFORCEMENT

Fraud and Abuse Enforcement Efforts Face Declining ROI

The federal government's return on investment (ROI) in the fight against health care fraud continues a recent decline according to the latest numbers reported for the Health Care Fraud and Abuse … [Read more...]

INDUSTRY BUZZ

Arizona Fraud Suit Opens New Front in the Legal War against Theranos

Suing Theranos has become something of a cottage industry. And now a whole new front in the legal war appears ready to open: state consumer fraud lawsuits. The Arizona Attorney General's Office (AGO) … [Read more...]

NEWS

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

Quest Pays $315K for Self-Disclosed Rent Kickbacks to MDs. Case: Quest Diagnostics agreed to pay $315,093 for allegedly paying kickbacks to a referral source. Quest self-disclosed the conduct which … [Read more...]

NEWS

The 6 Things Labs Need to Know About the Trump Travel Ban

We'll leave it to others to argue whether the Trump travel ban is legal, moral or wise. What we can tell you is that while it may be on temporary hold, the travel ban and the policy it embodies are … [Read more...]

BRIEF YOUR CEO

Yates Is Gone But Her Memo Remains

Pursuing False Claims Act (FCA) and Anti-Kickback Statute (AKS) prosecutions is just one of the things the US Department of Justice does to crack down on corporate wrongdoing. But while the enterprise … [Read more...]

ENFORCEMENT TRENDS

FISH Test Crackdown against 21st Century Oncology Nets Nearly $25 Million… and Counting

$24.86 million. That's how much a whistleblower has made for the government and herself—so far—in a case against 21st Century Oncology for alleged fraudulent billing of fluorescence in situ … [Read more...]

ENFORCEMENT

HHS Blocked from Enforcing Gender Identity Antidiscrimination Rule

Section 1557 of the Affordable Care Act bans Medicare participants from committing discrimination on the basis of, among other things, gender identity. A group of religious hospital systems and … [Read more...]

ENFORCEMENT

Brief Your CEO about Individual Liability

False Claims Act (FCA) and Anti-Kickback (AKS) prosecutions against labs are just two ways the US Justice Department cracks down on corporate wrongdoing. But while the threat of FCA and AKS corporate … [Read more...]

NEWS

Five Things Labs Need to Know About the Trump Travel Ban

We'll leave it to others to argue whether it's legal, moral or wise. What we can tell you is that President Trump issued an Executive Order Jan. 27, 2017, establishing a travel ban that can affect … [Read more...]

HIPAA

10 Things to Include in Your HIPAA Breach Notification Policy

Earlier this month we told you about a $475,000 settlement one provider reached in a HIPAA breach notification case. Privacy lapses can occur despite your best efforts to prevent them. If prevention … [Read more...]


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