G2 Compliance Perspectives: Implications for Clinical Laboratories In the OIG’s Proposal to Expand CMP Authority

There are potentially significant implications for the clinical laboratory industry in a proposed rule published in the Federal Register on May 12 that amends and expands the authority of the Office … [Read more...]

G2 Compliance Perspectives: OIG Warns of Anti-Kickback Statute Violations In Laboratory Payments to Referring Physicians

The Health and Human Services Office of Inspector General (OIG) on June 25 issued a special fraud alert titled “Laboratory Payments to Referring Physicians,” which should cause any laboratory that … [Read more...]

Compliance Perspectives: Compliance Warning: Watch Out for 2015 Laboratory Drug CPT® Code Changes

The American Medical Association (AMA) and the Centers for Medicare and Medicaid Services (CMS) have posted the preliminary new, revised, and deleted CPT® codes for 2015. The Drug Testing and the … [Read more...]

Compliance Perspectives: Medicare Medical Necessity Requirements Continue to Vex Clinical Laboratories

For more than a quarter century, clinical laboratories have struggled with the Medicare program over application of medical necessity requirements to laboratory services. The issue is complicated … [Read more...]

Compliance Perspectives: Defending the Medical Necessity of Anatomic, Clinical Pathology Services

"Thou shalt bill only medically necessary services.” Even though the term medical necessity appears in nearly every coverage policy issued by payers and insurers, its precise meaning remains elusive. … [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...]


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