FEE SCHEDULES

How PAMA’s Effect in 2018 Molecular Diagnostic Reimbursement Will Make Labs More Money

By Sean McSweeney  bio The year 2018 is slated to be much brighter for molecular diagnostic labs as PAMA fee schedules show a higher payment rate and amount for many cancer genomics and … [Read more...]

LAB SAFETY

Compliance Perspectives: The 12 Things to Include in Your Drug & Alcohol Testing Policy

MYTH Employee drug testing is illegal in states where it's legal to use recreational or medical marijuana WHAT'S AT STAKE No! No! No! The truth is that state laws on marijuana use and … [Read more...]

COMPLIANCE

OIG Work Plan Monthly Review: May 2018

Of the seven new Work Plan items, none directly impact labs and lab services. However, one item on Medicare Part B reimbursement of outpatient cardiac and pulmonary rehab services may have an indirect … [Read more...]

LEGISLATION

PAMA-Geddon: Lab Industry Takes CMS to Court

The nearly three-year struggle between HHS and the lab industry over PAMA has entered a new phase. On December 11, the American Clinical Laboratory Association (ACLA) filed a lawsuit asking the U.S. … [Read more...]

CYBERSECURITY

New Bill Would Make Lab Employees Criminally Liable for Concealing Data Breaches

While massive data breaches have existed as long as massive data itself, legal accountability for organizations that commit them is a relatively recent phenomenon. Breach Liability of Labs Because … [Read more...]

FALSE CLAIMS

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

Maine Hospital Pays $1.51 Million to Settle False Claims Charges Case: The feds charged Mercy Hospital with overbilling Medicare and MaineCare for urinalysis tests. Rather than risk a trial, Mercy … [Read more...]

COMPLIANCE

OIG Calls on CMS to Do Better at Medicare Collecting Overpayments

The system Medicare uses to detect and recover overpayments isn't working as well as it should be, according to a new OIG report. The Overpayment Collection System CMS relies on special contractors … [Read more...]

COMPLIANCE PERSPECTIVE

Beware of Accidental Discrimination in Lab Job Ads

Before civil rights laws, job ads like these were seen as perfectly normal. Today, employers aren't allowed to post job ads with phrases that exclude or express preferences based on race, gender, … [Read more...]

COMPLIANCE

OIG Work Plan Monthly Review: September 2017

Many of the 12 new items that the OIG added to its 2017 Work Plan in September target state and federal government agencies, including the Department of Health and Human Services itself—specifically, … [Read more...]

WHISTLEBLOWERS

Tool: Model Hotline Allegations Investigation Procedure

The OIG Model Compliance Plan for Clinical Laboratories requires labs to establish mechanisms for not only receiving but promptly investigating internal complaints and reports of potential compliance … [Read more...]


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