Enforcement Trends

Granston Memo Whistleblower Dismissals May Be Tougher than DOJ Thought

In 2018, the Justice Department sent an internal memorandum ordering US Attorneys to aggressively seek to dismiss False Claims Act (FCA) whistleblower qui tam lawsuits that lack merit or don’t serve … [Read more...]

Enforcement Trends

After 5 Down Years, Federal Enforcement ROI Increases—But Just a Tad

Like any other business, federal health care fraud law enforcement has to account for its return on investment (ROI). And for the previous six years, that ROI had been in steady decline. But ROI … [Read more...]

Brief Your CEO

The 18 Things You Can Do for COVID-19 that You Can’t Do for Other Testing  

Blanket Waivers relaxing kickback law restrictions standing in the way of desperately needed COVID-19 tests continue to play a crucial role in the federal government’s response to the Public Health … [Read more...]

Compliance Corner

What to Do If Stark Is Keeping You from Providing Emergency COVID-19 Testing

Scenario: A local physician group wants to team up with your lab to provide COVID-19 testing for its Medicare, Medicaid and private pay patients. Although the deal would also be lucrative, the primary … [Read more...]

Compliance Perspectives: New Laws & the Top 5 Challenges Lab Compliance Officers Face in 2020

Labs remain at the forefront of the federal government’s suspicious persons list and health care fraud enforcement agenda. But in addition to the customary laws that labs are used to, the government … [Read more...]

ENFORCEMENT

Quest Pays $88.7K to Settle Specimen Collection Fee Kickback Charges Against Its Subsidiary

Case: After self-disclosing, Quest has settled kickback claims against its wholly-owned subsidiary, Quest Diagnostics TB LLC, for $88,780. The OIG alleges that from June 2011 to December 2016, the lab … [Read more...]

ENFORCEMENT

Enforcement Trends: New Takedown Is Evidence that Genetic Testing Has Become an Enforcement Priority

It’s a pretty good sign that fraudulent billing of genetic lab testing has become a priority for federal fraud enforcers when it gets its very own “takedown.” Known as Operation Double Helix, the … [Read more...]

ANTITRUST

Enforcement Trends: New Emphasis on MD Practices Puts Labs at Growing Risk of Antitrust Enforcement

In addition to the usual Medicare and Medicaid anti-fraud laws, labs have a new liability risk to contend with: stepped-up federal and state enforcement of antitrust laws. The driving force behind … [Read more...]

ENFORCEMENT

Kickbacks: Massachusetts Practice Latest Provider Busted for Taking Kickbacks from Millennium

A northern Massachusetts medical practice became the latest downstream provider to pay the OIG a five-figure fine to settle kickback claims in the form of accepting free point-of-care test cups from … [Read more...]

SAFETY

Ergonomics in the Laboratory Setting

By Dan Scungio, MT (ASCP), SLS, CQA (ASQ)  bio Sometimes when I am talking about lab safety and the topic turns to ergonomics, I get an unusual reaction from the audience—laughter. It … [Read more...]


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