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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DOJ Explains What It Wants from a Compliance Program
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New OIG Report Confirms that Labs Are Still on the Enforcement Radar
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Case of the Month: FDA Issues Warning Letter for Unapproved Changes to Approved Assay
From – National Intelligence Report
As a rule of thumb, FDA approvals are a snapshot applicable only to the product as it exists at the time of review and approval…
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Enforcement Trends: Feds Targeting Commercial & Private-Pay, Not Just Medicare Fraud
From – National Intelligence Report
Risk of federal prosecution for health fraud and abuse applies only when you deal with Medicare, TRICARE or other federal health programs…
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Case of the Month: Milwaukee Clinic the Latest MD-Owned Lab Busted for Urine Drug Test Abuses
From – National Intelligence Report
Fraudulent utilization and billing of urine drug screening first became a priority for federal enforcers since the…
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Medicaid Fraud Enforcement Trends By the Numbers
From – National Intelligence Report
A new report from OIG details Medicare Fraud Control Unit (MCFU) enforcement activity in fiscal year…
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From Blood Screen to Silver Screen: The Theranos Story Goes Hollywood
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Compliance Alert: FDA Warning Letter to Inova Genomics Laboratory
Enforcement Trends: CMS Looks to Recover $66.3 Million in Improper Specimen Validity Test Payments
From – National Intelligence Report
The opioid crackdown has made urine drug testing an even greater priority for federal health fraud enforcers. One principle target is specimen validity testing…
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Enforcement Trends: Record Breaking Year for HIPAA Fines
From – National Intelligence Report
The federal Office for Civil Rights (OCR) reports that 2018 was a record year for HIPAA enforcement, with 10 settlements and one judgment bringing in…
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