Case: Imagine this. Insurers sue you and other labs for conspiring with a hospital to commit a fraudulent pass-through billing scheme for lab tests. You think the case is garbage and are determined to … [Read more...]
Labs In Court
Payor Can’t Use Alleged Co-Conspirator’s Settlement as Evidence Lab that Engaged in Pass-Through Billing Scheme
October 19, 2021
Labs In Court
Fort Worth Hospital Settles Upcoding Charges for $3.3 Million
October 12, 2021
Case: A compliance officer morphed into a whistleblower when hospital leaders ignored her warnings about widespread billing and coding abuses. Specifically, she sounded the alarm that the hospital was … [Read more...]
Tool
Model Code of Conduct for Virtual Meetings
October 8, 2021
Far from eliminating workplace harassment, telecommuting has only caused it to morph into digital forms. As a result, labs and other employers need to tweak their harassment policies to deal with the … [Read more...]
Texas Toxicology Lab Settles Self-Disclosed Anti-Kickback Law Charges for $1.54 Million
October 5, 2021
Case: The American Institute of Toxicology, Inc., d/b/a AIT Laboratories has agreed to pay $1,541,062 to settle charges of violating the anti-kickback law. OIG alleges that AIT, through its agent, … [Read more...]
ENFORCEMENT
OCR Continues HIPAA Right of Access Crackdown, but at a Much Slower Pace
October 5, 2021
Twenty different providers have been hit with fines since the Department of Health and Human Services’ Office for Civil Rights (OCR) launched its HIPAA Right of Access Initiative in April 2019. … [Read more...]
Labs In Court
A roundup of recent cases and enforcement actions involving the diagnostics industry
October 5, 2021
Fort Worth Hospital Settles Upcoding Charges for $3.3 Million Case: A compliance officer morphed into a whistleblower when hospital leaders ignored her warnings about widespread billing and coding … [Read more...]
Labs in Court
Court Rules that Hologic Didn’t Steal Minerva’s Patented Technology
October 1, 2021
Case: Minerva Surgical Instruments sued Hologic for illegally incorporating Minerva’s patented technology for endometric ablation into its NovaSure ADVANCED and CLASSIC devices. Hologic argued that it … [Read more...]
Current Issue of LCA
September 30, 2021
Before You Download Please read the following user agreement and confirm your acceptance of the terms before you download LCA content: I agree that I am the the only person who is accessing my … [Read more...]
Brief Your CEO
Make Sure Lab Staff Know about New CMS Clarification of IDTF Billing Rules
September 29, 2021
If your lab or facility is an Independent Diagnostic Testing Facility (IDTF), you need to know and brief your C-Suite about the new Centers for Medicare & Medicaid Services (CMS) issued new … [Read more...]
