ENFORCEMENT

Opko Health, CEO Named in Pump-and-Dump Stock Fraud Scheme

Case: The U.S. Securities Exchange Commission charged billionaire drug entrepreneur Phillip Frost and his company, Opko Health, for participating in a market manipulation scheme allegedly organized by … [Read more...]

PATIENT SAFETY

Lab CEO Pleads Guilty to Distributing Medically Unnecessary Opioids

Case: The CEO of Tri-County Wellness Group and owner of labs and pain clinics in Michigan and Ohio, pleaded guilty to criminal charges for his role in $300 million health care fraud scheme involving … [Read more...]

MANAGING STAFF

Compliance Perspective: The Duty to Accommodate the Religious Beliefs of Employees & Job Applicants

YOU MAKE THE CALL SITUATION: A worker notifies management that he can't comply with hospital policy requiring all workers to get an annual flu shot because of his religion. He asks for permission to … [Read more...]

COMPLIANCE TIPS

Surviving a Medicare Audit: Warn Lab Staffers Not to Lie to Auditors

As a lab compliance director, you understand the dangers of obstructing a Medicare audit. The problem is you staff may not. So, make it clear to any staffer that may come into contact with an auditor … [Read more...]

HIPAA

Aetna Settles with States of Victims of HIV Meds Envelope Privacy Snafu

Case: Aetna is still paying for a disastrous miscalculation that may have revealed the HIV status of 12,000 beneficiaries that occurred in July 2017 when it mailed them information about their HIV … [Read more...]

OUTREACH ASSETS

Attendees Given Insider’s Look at a Hospital Laboratory Joint Venture

Hospital systems are increasingly exploring joint ventures as a means to monetize some of the hospital outreach laboratory's assets without exiting the business. Attendees at G2's 36th annual … [Read more...]

ANTI-KICKBACK

Florida MD Practices Shell Out $58.3K for Accepting Millennium Test Cup Freebies

Case: The round-up of physicians that accepted free point of care test (POCT) cups from Millennium Laboratories continues with a pediatrician and internist and their respective Jacksonville … [Read more...]

WALL STREET JOURNAL WRITER

Carreyrou Captivates Lab Institute With Inside Look at Theranos Fall

The tale could be headed to movie theaters around the nation soon. It is a gripping story of a Steve Jobs-wannabe—a young Stanford dropout with a vision and more than $400 million in funding from … [Read more...]

ANTI-KICKBACK

Enforcement Trends: Feds Administer a Double Dose of Civil Monetary Penalty Increases

Potential penalties for Medicare violations will be higher if they're assessed on or after Oct. 11, 2018. That's when the newly announced Dept. of Health and Human Services' (HHS) inflation-adjusted … [Read more...]

CYBERSECURITY

Case of the Month: Anthem Settles Massive HIPAA Breach Case for Record $16 Million

Pop Quiz: What's the highest amount a health care entity ever paid to the HHS Office for Civil Rights (OCR) to settle a HIPAA violation? The answer used to be $5.5 million paid by Advocate Health … [Read more...]


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