PAMA-Geddon: Proposed 2018 Lab Pay Rates Are a Bloodbath

There will be no delay; and And hospital labs will remain excluded from "applicable laboratories" on which supposed market rate payments for lab tests will be based. Those were the first … [Read more...]

Compliance Perspectives: Private Sector Joins the Battle against Lab Fraud

The crackdown on lab fraud has been going on for decades. But now the dynamics are changing. While federal prosecutors and private whistleblowers continue to supply most of the impetus, they have been … [Read more...]


10 Traps to Avoid When Investigating Potential Whistleblower Complaints

If one of your employees comes forward to report a billing, coding, reimbursement or other potential violation, the liability of your lab will turn on two critical questions: Is the employee … [Read more...]


False Billing of Nuclear Stress Tests at Center of $50 Million Cardio Fraud Scheme

The feds arrested a cardiologist, neurologist and four others for their role in an elaborate fraud scheme. The government contends that over a 12- year period, the defendants' New York City medical … [Read more...]


Managing Kickback Risks in Lab Sales & Marketing Arrangements

As with any other business, labs need sales and marketing expertise to survive and grow in the competitive diagnostics market. But to the extent you serve patients in Medicare, Medicaid and other … [Read more...]


Brief Your CEO: 8 Changes in Trump Travel Ban

Although it applies to all industries, the Trump travel ban will have a disproportionate impact on labs and other health care providers. We recently outlined the major effects and the steps you can … [Read more...]


Arizona Fraud Suit Opens New Front in the Legal War against Theranos

Suing Theranos has become something of a cottage industry. And now a whole new front in the legal war appears ready to open: state consumer fraud lawsuits. The Arizona Attorney General's Office (AGO) … [Read more...]


The 6 Things Labs Need to Know About the Trump Travel Ban

We'll leave it to others to argue whether the Trump travel ban is legal, moral or wise. What we can tell you is that while it may be on temporary hold, the travel ban and the policy it embodies are … [Read more...]


Five Things Labs Need to Know About the Trump Travel Ban

We'll leave it to others to argue whether it's legal, moral or wise. What we can tell you is that President Trump issued an Executive Order Jan. 27, 2017, establishing a travel ban that can affect … [Read more...]


10 Things to Include in Your HIPAA Breach Notification Policy

Earlier this month we told you about a $475,000 settlement one provider reached in a HIPAA breach notification case. Privacy lapses can occur despite your best efforts to prevent them. If prevention … [Read more...]