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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CMS Increases 2020 Maximum Civil Monetary Penalties
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Enforcement Trends: False Claims Act Recoveries Increase as Labs Remain in Firing Line
The dollars paid by healthcare providers in federal False Claims Act settlements and judgments increased for the second year in row in 2019. After a surprising decline in 2017, total recoveries rebounded
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Enforcement Trends: The Top 5 Lab False Claims Act Settlements of 2019
Labs were on the paying end of at least eight million-dollar False Claims Act (FCA) settlements or judgments in the 2019 fiscal year. Here’s a review of the top 5 reported FCA recoveries against a lab or lab services company.
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In Brief: OIG Opens Second Avenue for Anti-Kickback Statute Revisions
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Enforcement Trends: Increase in OIG Fraud Recoveries Belies Continued Decline in Enforcement Actions
OIG fraud recovery has been a solid growth business for nearly two decades. So, when the agency announced a decline in FY 2018 recovery figures, it was more than a bit surprising. But things got back to normal this year, as far as
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Scorecard: OIG Enforcement Actions against Labs in 2019
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Enforcement Actions: Doctors Pay $1.1 Million to Settle Genetic Test Kickback Claims
From – National Intelligence Report
Kickbacks for genetic test referrals has become a focus of recent federal enforcement action. The most recent case involves…
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Enforcement Trends: Investment Return on Fraud Fighting Continues to Decline
From – National Intelligence Report
Although it’s still a profitable endeavor, enforcing federal health care fraud laws isn’t providing the investment returns of yesteryears…
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