PAMA

Medicare Reimbursement: CMS Offers Some PAMA Relief But Not Nearly Enough

The final 2019 Clinical Laboratory Fee Schedule (CLFS) (Final Rule) is out and it's just as bad as last year's. Here's a rundown of what lab compliance and reimbursement managers need to know. CMS's … [Read more...]

COMPLIANCE CORNER

HIPAA Compliance: The Pitfalls of PHI De-Identification & How to Avoid Them

In 2016, the Australian government released medical billing records of 2.9 million people. They tried to protect patient privacy by removing names and other identifying data. But it didn't work. … [Read more...]

COMPLIANCE CORNER

Stark Relief: Change Seems Imminent but Less Dramatic than Industry Wants

CMS is giving serious indications of its willingness to entertain Stark Law relief. Back in June, CMS issued a Request for Information (RFI) seeking public comments and suggestions on changes to … [Read more...]

MANAGING STAFF

Compliance Perspective: Keeping Employee from Damaging Your Lab on Social Media

In the cyber age, protecting your lab from the potential threat posed by employee blogging, tweeting, Instagramming and other social networking is a business imperative. But how? To find out, keep … [Read more...]

COMPLIANCE PERSPECTIVES

The 10 Policies You Need to Stop Lab Employee PHI Breaches

Safeguarding personal health information (PHI) data from hackers, identity thieves and other cyber threats isn't just a legal obligation but a business imperative. Yet, with so much on the line, … [Read more...]

BILLING AND COLLECTIONS

Enforcement Trends: Private Insurers Are Cracking Down on the Labs that Scam Them

Watch out billing scammers! The DOJ, OIG and whistleblower have a new ally in their never-ending quest to bring dishonest labs to justice: private insurance companies. And among the insurance … [Read more...]

ACCREDITATION

Lab Quality & Safety: JCAHO to Crack Down on Handwashing Shortcuts

You can preach hygiene until the cows come home but it may not be enough to get busy and distracted lab employees to wash their hands properly. In addition to undermining test integrity, effective … [Read more...]

COMPLIANCE CORNER

Medicare Exclusions: One Week, Two Different Labs Get the Boot

Exclusion of a clinical lab from participating in Medicare or other government health programs is a relatively rare penalty. But last month, there were two of them reported in the span of less than a … [Read more...]

LAB SAFETY

Compliance Quiz: Spot the HazCom Mistake

SITUATION Health and safety director Matt Hazard is responsible for keeping the lab compliant with OSHA HazCom rules. He takes inventory of all the hazardous substances the lab uses in the workplace. … [Read more...]

COMPLIANCE

You Make the Call: Is Replacing Spoiled Products for Free an Anti-Kickback Violation?

The following scenario comes right out of an August 25, 2017 OIG Advisory Opinion. See if you can guess how the OIG ruled. SITUATION A pharmaceutical company manufactures biologics prone to spoilage … [Read more...]


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