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

DOJ Touts 2016 as Bumper Year for False Claim Act Recoveries

The False Claims Act (FCA) remains the federal government's most potent fraud enforcement tool. After sagging a tad in recent years, FCA recoveries bounced back in fiscal year 2016. As usual, the … [Read more...]

NEWS

Enforcement Firsts: Presence Health Fined $475,000 for Taking Too Long to Report HIPAA Breach

Patient health information breaches—whether from hacking, glitches or just plain old carelessness—remain an all too common occurrence in labs and other health care institutions. A new HIPAA rule took … [Read more...]

HIPAA

First HIPAA Breach Notification Settlement Totals $475,000

Patient health information breaches—whether from hacking, glitches or just plain old carelessness—remain an all too common occurrence in labs and other health care institutions. Four years ago, a new … [Read more...]

ENFORCEMENT

OIG Targets Sleep Study Tests

If your lab performs sleep studies on Medicare patients, beware. It is now a high-priority target for federal fraud and abuse enforcement. Here is a look at the risk you face and what you can do to … [Read more...]

ENFORCEMENT

Civil Monetary Penalties Rules Updated

One aspect of the Affordable Care Act (ACA) that is not likely to be repealed is the enhancement of penalties for Medicare and Medicaid fraud and abuse. That includes the new Regulation on civil … [Read more...]

ENFORCEMENT

Enforcement Trends: 5 Insights from the OIG Semi-Annual Report

You can always count on OIG semiannual reports to Congress for two things: self-congratulation and insight into the enforcement priorities for the next six months. The most recent edition, published … [Read more...]

ENFORCEMENT

New OIG Rules Make It Easier to Sock Labs with Civil Monetary Penalties

It may be facing repeal but the Affordable Care Act (ACA) is not going down without a squawk. On Dec. 7, the Office of Inspector General (OIG) accomplished a key piece of ACA business by adopting … [Read more...]

COMPLIANCE

Brief Your CEO: The New Anti-Kickback Safe Harbors & Their Impact on Your Lab

If, like many lab managers, you are preparing to brief your CEO on significant regulatory changes from 2016 that are likely to impact business in 2017, be sure that the finalized revisions to the … [Read more...]

COMPLIANCE

OIG Highlights Hotline to Encourage Fraud Reporting

Reporting compliance concerns is a key component of effective compliance plans. A recent U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) podcast highlights the … [Read more...]


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