Four Federal Efforts to Monitor, Including RESULTS Act Progress
Other proposals aim to increase fraud enforcement, temper prior authorization, and modernize CLIA
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Articles and Reports
Genetic Testing Kickback Scheme Results in 46-Month Prison Term
Federal prosecutors continue to target situations where third-party recruiters influence test ordering
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2026 Predictions for Clinical Labs: AI, Audits, and Increased Enforcement
How clinical laboratories should prepare for the next wave of oversight in the new year
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2017 OIG Work Plan Holds Few Surprises for Labs
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OIG Releases 2017 Work Plan
From – National Intelligence Report
There are few surprises in the Health and Human Services Office of Inspector General’s 2017 Work Plan. The OIG’s annual Work Plan provides…
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OIG Celebrates 40 Years of Fraud Fighting
From – National Intelligence Report
Oct. 15, 2016 marks 40 years since the U.S. Department of Health & Human Services (HHS) Office of Inspector General (OIG) was launched in…
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Lab Settlements Resolve False Claims Cases
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Continuum Settles Reverse False Claims Case
From – National Intelligence Report
Facing the uncertainty of trial, Continuum has officially settled reverse false claims allegations for…
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OIG Report Indicates Limited Success for Senior Medicare Patrol
From – National Intelligence Report
An Office of Inspector General report detailing results of 2015 enforcement efforts by the Senior Medicare Patrol (SMP) show success but not overwhelming recoveries. However, the report cautions that…
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Program Integrity Saves Medicare $42 Billion
From – National Intelligence Report
In a new report to Congress, the Centers for Medicare & Medicaid Services reports the Program Integrity activities have saved Medicare and…
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Democratic Committee Leaders and CMS Present Latest Challenges to Theranos
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FCA Penalties Nearly Double Under DOJ’s Interim Final Rule
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