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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Lab Implicated in Long-Running Kickback Case Pleads Guilty, Forfeits Assets
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Department of Justice Nearly Doubles FCA Penalties
From – National Intelligence Report
June 30, the Department of Justice (DOJ) published an Interim Final Rule in the Federal Register that has significant ramifications for enforcement under the…
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Largest Strike Force Takedown in History Charges 300 Individuals
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Senior Medicare Patrol Projects Show Low ROI in Fighting Fraud and Abuse
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U.S. Supreme Court Recognizes FCA Liability for Implied False Certification
From – National Intelligence Report
While the long awaited release of the PAMA rule has received a lot of attention, a significant False Claims Act (FCA) decision by the U.S. Supreme Court was also…
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CMS Reports Medicare Fraud Prevention System Saves $1.5 Billion
From – National Intelligence Report
While Big Data can mean new opportunities for increasing efficiencies and revenues for the laboratory industry, the Centers for Medicare & Medicaid Services (CMS) claims Big Data has yielded big savings for…
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OIG Mid-Year Work Plan Update Adds PAMA-Focused Lab Item
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Focus Diagnostics Simplexa Test Kit Faces Recall
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