Don’t Overlook Varying State Requirements Applicable to Independent Clinical Labs

Through acquisition, merger, or organic growth, labs may find their operations expanding regionally or nationally. If your lab is operating facilities in multiple states or testing specimens … [Read more...]

Six Ways to Reduce Risk of Employee Turning ‘Whistleblower’ Against Your Lab

The False Claims Act is the government’s most successful fraud enforcement tool, especially since whistleblowers—individuals who bring suspected fraud to the government’s attention—are able to receive … [Read more...]

G2 Compliance Perspectives: New HIPAA Regulations Mean New Obligations for Clinical Laboratories

The HIPAA-HITECH regulations, “Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules” (final rule), were published in the Federal Register on Jan. 25, 2013 (78 Fed. … [Read more...]

Compliance Perspectives: Managing Privacy and Security Risks: Outsourced Pathology and Laboratory Information Services

Many hospitals and medical practices outsource some or all of their pathology needs. Traditionally, such services included the provision of laboratory services up to and including around-the-clock … [Read more...]

Compliance Perspectives: Anatomy of a Physician Referral Relationship: Dissecting the Risk Areas and Ensuring Compliance

Relationships between health care providers and their physician referral sources are facing an unprecedented level of government scrutiny for potential fraud and abuse in these relationships. With a … [Read more...]

Recovery Auditor Program Effective but Wasteful

Federal efforts to reduce the numbers of improperly paid Medicare claims has resulted in some success but comes at the expense of diverting scarce resources from patient care to audit defense. A … [Read more...]

Toxicology Company Files Suit Against Competitor

US Health Group Inc. (USHG) is seeking a temporary restraining order and temporary injunction against Physicians Choice Laboratory Services (PCLS) and some of its employees, alleging that they … [Read more...]

J&J Receives Strict Corporate Integrity Agreement As Part of $2.2 Billion Settlement

In the third-largest settlement the government has reached with a pharmaceutical company, Johnson & Johnson (J&J) and two of its subsidiaries have agreed to pay $2.2 billion in fines and … [Read more...]

Audit Finds Three Major Deficiencies In Oversight of Security Rule

The Office for Civil Rights (OCR) would be cited for several major deficiencies if it were conducting one of its Health Insurance Portability and Accountability Act security rule audits on itself, … [Read more...]

Hospital Self-Discloses Improper Financial Arrangements

A Montana hospital and its parent company agreed to a $3.85 million settlement with the government to resolve allegations that they violated the anti-kickback statute, the physician self-referral … [Read more...]