COMPLIANCE PLANS

OIG Work Plan Monthly Review: December 2017

None of the six items the OIG added to its Work Plan this month directly address labs or labs services. However, five of the new items, including the two dealing with opioid abuse, might affect labs … [Read more...]

ENFORCEMENT

OIG Work Plan Monthly Review: November 2017

The OIG added four new items to its Work Plan this month, all of which have potential indirect effects on clinical labs involved in providing the targeted services. 1. Opioids in Medicaid: Concerns … [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...]

ENFORCEMENT

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

Free Point of Care Test Cups Results in $64K Kickback Settlement Bill Case:The embers from the Millennium Laboratories case, which settled in 2015, continue to smolder. The latest collateral … [Read more...]

NEWS

OIG Work Plan Monthly Review: October 2017

Drugs continue to command the OIG's attention with three of this month's five new Work Plan items dedicated to the issue. Although none of the new items specifically address lab services, four of them … [Read more...]

REIMBURSEMENT

Medicare Reimbursement: CMS Issues New Medical Review Instructions to Contractors

On Aug. 14, CMS issued new marching orders to Medicare Administrative Contractors (Contractors). The message: Tighten up the way you target suppliers and providers for medical review. The Targeted … [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...]

COMPLIANCE

Here’s my latest Employment Law update prepared for many HR professionals

By Mike O'Brien  bio Lots of ADA Facility Lawsuits in Utah: Here is an interesting legal news update from my partner Mike Judd: Title III of the Americans with Disabilities Act (ADA) … [Read more...]

ENFORCEMENT

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

Spine Clinic Owner Indicted for Falsely Billing Quantitative Urinalysis Tests Case: The co-owner and billing manager of a Louisiana spine and pain management clinic have been charged with falsely … [Read more...]

ENFORCEMENT TRENDS

OIG Switches from Semi-Annual to Monthly Work Plan Strategy

New OIG Work Plans every six months are a thing of the past. In June, the agency announced plans to update its Work Plan website monthly. The self-proclaimed "dynamic," web-based strategy is … [Read more...]


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