Emphasis on Individual Responsibility Likely to Continue Even After Yates Departure

Pursuing False Claims Act (FCA) and Anti-Kickback (AKS) prosecutions against labs is just one of the things the U.S. Department of Justice does to crack down on corporate wrongdoing. On Sept. 9, 2015, … [Read more...]


Health Care Fraud and Abuse Program Faces Declining ROI

The federal government's return on investment (ROI) in the fight against health care fraud continues a steady decline according to the latest numbers reported for the Health Care Fraud and Abuse … [Read more...]


Breach Notification Violation Ends in $475,000 Settlement

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...]


DOJ Surveys False Claims Victories for 2016

As we closed out the calendar year, the U.S. Department of Justice (DOJ) reflected on its successes for the fiscal year 2016 (FY 2016) which ended Sept. 30, 2016. Principal Deputy Assistant Attorney … [Read more...]


Labs Beware: New Rules Impose Harsher Civil Monetary Penalties

It may be facing repeal but the Affordable Care Act (ACA) is not going down without a squawk. On Dec. 7, the Office of Inspector General (OIG) accomplished a key piece of ACA business by adopting … [Read more...]


Semiannual OIG Report to Congress Outlines Challenges as Well as Successes

The Office of Inspector General's latest semiannual report to Congress provides a guide to the enforcement priorities the agency will continue to pursue, and proclaims its achievements in oversight … [Read more...]


OIG Says No to Lab Providing Free Labeling Services to Dialysis Facility

Reiterating its longstanding aversion to labs providing free items or services to referral sources, the Department of Health & Human Services Office of Inspector General (OIG) issued an Advisory … [Read more...]


OIG Report Highlights Aggressive Enforcement

The OIG's latest semiannual report to Congress, as usual, touts its successes with oversight and enforcement and provides a guide to the enforcement priorities the agency will continue to pursue. Here … [Read more...]


Crosswalked Codes in 2017 Clinical Laboratory Fee Schedule

CPT Code Crosswalked To 80305 (Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) capable of being read by direct optical … [Read more...]


2017 OIG Work Plan Holds Few Surprises for Labs

There are few surprises in the Health and Human Services Office of Inspector General's 2017 Work Plan. The OIG's annual Work Plan provides a summary of new and continuing reviews that the agency is … [Read more...]