Red Flags in Clinical Lab Operations Rise from Recent Court Cases
Guilty plea points to patient data collection, while settlement implicates an undisclosed relationship
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Lessons in Laboratory Compliance from a $30 Million Settlement
‘Lean lab’ setup appears to have caught the eyes of investigators
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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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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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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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