Preparing for the New Year: Lab Review, Audit, and Compliance Strategies

Laboratory compliance officers have many duties to oversee or perform throughout the calendar year, some more vital than others. It is important to understand which of those should be prioritized over … [Read more...]

More Than Meets the Eye: Taking a Deeper Look at 2015 OIG Work Plan Analysis for Laboratories

It is an error to review the single item directly addressed to laboratories in the Health and Human Services Office of Inspector General (OIG) Work Plan for fiscal year 2015 and believe that only … [Read more...]

CMS Establishes New ‘X’ Modifiers for Use With Modifier 59

Laboratories need to be careful how they use modifier 59, Distinct Procedural Service, in 2015 because the Centers for Medicare and Medicaid Services (CMS) is trying a new tactic to ensure proper use … [Read more...]

Lab Charged With Sending Unsolicited Faxes

A Minnesota laboratory facing a class action lawsuit over unsolicited facsimile advertisements it sent to an Ohio clinic, Sandusky Wellness Center LLC, in February 2012 lost its motion for summary … [Read more...]

Lab Charged With Sending Unsolicited Faxes

A Minnesota laboratory facing a class action lawsuit over unsolicited facsimile advertisements it sent to an Ohio clinic, Sandusky Wellness Center LLC, in February 2012 lost its motion for summary … [Read more...]

Compliance Perspectives: It’s Time to Look Forward: Make a List and Check It Twice

Among the many tasks that a laboratory compliance officer must carry out, planning for upcoming compliance issues and anticipating regulatory challenges is as important as any other. This task is … [Read more...]

Compliance Perspectives: It’s Time to Look Forward: Make a List and Check It Twice

Among the many tasks that a laboratory compliance officer must carry out, planning for upcoming compliance issues and anticipating regulatory challenges is as important as any other. This task is … [Read more...]

A Pattern or Practice of Submitting Improper Claims Could Cost Labs Their Billing Privileges

Under a new final regulation published by the Centers for Medicare and Medicaid Services (CMS) in the Dec. 5 Federal Register, laboratories could be at higher risk than other kinds of providers … [Read more...]

Embattled Laboratory Seeks Dismissal of Cigna Lawsuit

Health Diagnostic Laboratory Inc. (HDL) is seeking dismissal of an $84 million lawsuit filed against it in October by Connecticut General Life Insurance Co. (Cigna). In a Dec. 8 motion seeking … [Read more...]

LabMD versus the FTC Will Finally Move Forward

An important security case pitting the Federal Trade Commission (FTC) against LabMD, a former laboratory testing company forced to cease operations because of the FTC’s action, will finally be moving … [Read more...]


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