New Enhancing CLIA Act: What Lab Directors Need to Know
The proposal seeks to move any future LDT authority away from the FDA
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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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PAMA Delay Proposed Until 2027 Under a New Federal Spending Bill
However, attorney Danielle Sloane urges labs to be proactive about potential PAMA reporting requirements on Jan. 31 if the bill doesn’t pass quickly
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Health Insurance Market: Two Recent Changes & Their Impact on Labs
From – National Intelligence Report
Amid all the talk of sweeping reform of the health insurance marketplace, the smaller, interim changes get overlooked despite their direct impact on…
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Case of the Month: Fraud or Legitimate Rural Hospital Lab Outreach Business?
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Case of the Month: Individual Principles Hit with $114.1 Million Verdict for Role in HDL Blood Test Fraud
From – National Intelligence Report
Roughly three years ago at this time, mega-scandals were in the news featuring diagnostic giants like Millennium, Health Diagnostic Laboratory (HDL), Biodiagnostic Laboratory Service and…
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New Laws: Very Quietly, Congress Doubles Penalties for Medicare Fraud & Abuse
From – National Intelligence Report
Sneaky may be too strong a word. But what is fair to say is that the new hikes in federal health care fraud violation penalties have flown totally under the radar despite…
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Medicare Reimbursement: Federal Government Funding Extension Includes a Boatload of Medicare Changes
From – National Intelligence Report
The government shutdown fiasco is having an impact on Medicare spending and reimbursement. But the crucial details are being buried in the legislative paperwork…
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Case of Month: Using Window Envelope to Mail HIV Info Costs Aetna $17+ Million
From – National Intelligence Report
You talk about a mailroom mess-up! A shockingly bad choice in envelopes has just cost one of the country’s largest health insurers over…
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CLIA: After 36 Years, CMS Gives Lab Accreditation a Good Hard Look
From – National Intelligence Report
If you’ve been in the clinical labs business for a while, you probably appreciate the wisdom behind this ancient Chinese curse. 2018 is shaping up to be a very…
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