COMPLIANCE GUIDANCE

Anti-kickback and Stark Law Compliance Tips

There have been a number of anti-kickback and physician self-referral (Stark) cases involving laboratories in recent years. Many laboratory compliance officers may need to focus compliance efforts on … [Read more...]

PAMA

PAMA Update: OIG Status Report on Implementing New Medicare Fee Schedule for Part B Lab Tests

Transition to the new Medicare Part B payment system for lab tests under the Protecting Access to Medicare Act of 2014 (PAMA) is in full swing and about to heat up. With D-day set for Jan. 1, 2018, … [Read more...]

EMPLOYMENT

Social Media and Hiring: Can You Use Facebook to Screen Job Applicants?

The consensus seems to be that the popular employer practice of demanding Facebook passwords from job applicants and screening their pages is both morally "wrong" and "illegal." … [Read more...]

COMPLIANCE TIPS

No One-Size-Fits-All Answer for Frequency of Billing and Coding Audits

Q. How often should a laboratory conduct compliance audits of its billing and coding? A. The answer depends on many factors and will vary from provider to provider. The Office of Inspector General's … [Read more...]

COMPLIANCE TIPS

Penalties for False Claims Aren’t the Only FCA Risk to Avoid

By Kelly A. Briganti, Editorial Director, G2 Intelligence In the last two issues of Lab & Pathology Insider we highlighted new developments concerning the False Claims Act (FCA): the U.S. Supreme … [Read more...]

DATA

Data Analytics Fuels Billions of Dollars in Fraud Recoveries Says OIG, CMS

By Kelly A. Briganti, Editorial Director, G2 Intelligence A common message emerging from the government enforcement agencies is that data analytics have been critical to fraud and abuse efforts. As … [Read more...]

ANTI-KICKBACK

OIG Advisory Opinion Says GPO That Includes Labs Has “Acceptably Low” Anti-Kickback Risk

Group purchasing organizations (GPOs) are entities that act as a purchaser of supplies and equipment for a number of other entities—usually health care providers like hospitals. Laboratories, often … [Read more...]

ENFORCEMENT

DOJ Continues Focus on Individual Accountability with FCPA Self-Disclosure Pilot

By Kelly A. Briganti, Editorial Director, G2 Intelligence If the Foreign Corrupt Practices Act (FCPA) sounds like it shouldn't be of concern to laboratories and the diagnostics industry, think again. … [Read more...]

Ensure Regular training for Billing and Coding staff

Don’t overlook continual training of your billing and coding staff. It’s a compliance principle that the OIG emphasized in its initial compliance guidance for laboratories in 1998 and it is still just … [Read more...]

Enforcement and Guidance Efforts Serve as Reminder: Re-evaluate and Update Your Compliance Plans

Laboratories should revisit their compliance programs now that the government has released its latest report on the success of its fraud-fighting efforts as well as new compliance guidance for health … [Read more...]


(-00000g2)