Labs In Court

Payor Can’t Use Alleged Co-Conspirator’s Settlement as Evidence Lab that Engaged in Pass-Through Billing Scheme

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

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 abuses. Specifically, she sounded the alarm that the hospital was … [Read more...]

HARASSMENT

Compliance Perspectives: How to Give Your Analog Workplace Harassment Policy a Digital Makeover

One of the only nice things about the pandemic is the relief it’s provided from workplace harassment. After all, employees are far less vulnerable to workplace harassment when they work from … [Read more...]

Tool

Model Code of Conduct for Virtual Meetings

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

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

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

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

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

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

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...]


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