Brief Your CEO: Use New OIG Work Plan to Keep Your Lab Compliant in 2017

As the year comes to a close, lab managers need to brief their officers on the federal government enforcement initiatives that may affect operations in the coming year. The best place to turn for … [Read more...]


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 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...]


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...]


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...]


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 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...]


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...]


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...]