Anthem Settles Data Breach Lawsuit for Record $115 Million Case: Anthem, the nation's second largest health insurer, has agreed to shell out $115 million to settle a class action lawsuit over a … [Read more...]
ENFORCEMENT
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
August 17, 2017
NEWS
Compliance Planning: OIG Switches from Semi-Annual to Monthly Work Plan Updates
August 17, 2017
When it comes to running a laboratory compliance plan, the semi-annual OIG Work Plan can be a big help to because it enables you to keep track of new enforcement initiatives and respond to emerging … [Read more...]
EMPLOYMENT LAW
Employment Law Update for August 2017
August 14, 2017
By Mike O'Brien bio Here is my periodic update prepared for interested HR professionals trying to deal with the complex American employment laws. In this update: REPEAL? REPAIR? REPLACE? … [Read more...]
ENFORCEMENT TRENDS
New Fraud Takedown Shows that Coordinated Enforcement Remains Alive & Well under Trump
July 31, 2017
Last year at this time, the Justice Department announced the results of a nationwide takedown involving "the most defendants charged and largest alleged loss amount in Medicare Strike Force … [Read more...]
ENFORCEMENT
Notorious File: Feds Take Down Three More Doctors in BLS Lab Bribery Scheme
July 10, 2017
The Biodiagnostic Laboratory Service (BLS) case continues to be the poster child for the evils of fraud and greed in the health care industry, generating record numbers of prosecutions against medical … [Read more...]
COMPLIANCE
Here’s my latest Employment Law update prepared for many HR professionals
June 30, 2017
By Mike O'Brien bio Lots of ADA Facility Lawsuits in Utah: Here is an interesting legal news update from my partner Mike Judd: Title III of the Americans with Disabilities Act (ADA) … [Read more...]
COMPLIANCE
Case of the Month: False Billing of Nuclear Stress Tests at Center of $50 Million Cardio Fraud Scheme
June 19, 2017
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...]
ENFORCEMENT
CMS, OIG Reps Address PAMA, Fraud Enforcement at ACLA Annual Meeting
March 31, 2017
At the American Clinical Laboratory Association annual meeting in Washington, D.C. March 23, representatives of the Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector … [Read more...]
COMPLIANCE
OIG and DOJ Provide Tips for Determining Effectiveness of Compliance Programs
March 31, 2017
Labs have two new compliance tools—from the Department of Justice (DOJ) and the Office of Inspector General (OIG)—focused on evaluating the effectiveness of compliance programs. The DOJ's resource … [Read more...]
HIPAA
Breach Notification Violation Ends in $475,000 Settlement
January 23, 2017
Patient health information breaches—whether from hacking, glitches or just plain old carelessness—remain an all too common occurrence in labs and other health care institutions. Three years ago, a new … [Read more...]
