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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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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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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Enforcement Trends: After 2017 Decline, False Claims Act Healthcare Recoveries Bounce Back
From – National Intelligence Report
Although the False Claims Act (FCA) remains a federal enforcement cash cow, the growth rate has fallen off in recent years, at least in the…
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New Law: EKRA Makes Drug Addiction & Rehab Labs Potential Targets for Federal Prosecution
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