ENFORCEMENT

EHR: Private Whistleblowers Getting in on “Meaningful Use” Crackdown

Wrongful payment of electronic health records (EHR) "meaningful use" incentives has become a growth area in federal health care fraud enforcement. And now private whistleblowers are getting … [Read more...]

COMPLIANCE

Labs Figure Prominently in OIG’s Newest Top 10 Challenges List

Although the OIG has its flaws, lack of transparency is not among them. Exhibit A: the agency's ongoing list of top 10 management and performance challenges facing the Department of Health and Human … [Read more...]

QUALITY OF CARE

New Lawsuit Tests Limits of Medical Malpractice in Age of Precision Medicine

Is a health care provider's failure to refer a cancer patient for genetic counseling grounds for medical malpractice? One patient claims it is and wants $1.8 million in damages because she never … [Read more...]

ENFORCEMENT

Enforcement Trends: 5 Takeaways from OIG’s New Semiannual Report

Veteran OIG semiannual report aficionados will find little in the most recent edition to distinguish it markedly from its predecessors. But while a new administration has done little to change the … [Read more...]

PRECISION MEDICINE

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

Using Nuclear Stress Tests as Screening Procedure = Medical Necessity Violation Case: A California cardio clinic and its physician owners will pay $1.2 million to settle charges of falsely billing … [Read more...]

NEWS

Millennium Labs Bankruptcy Plan Stays on Track despite Lender Opposition

It has been nearly two years since Millennium went into Chapter 11 but the case continues to make news. After agreeing to pay $250 million to settle federal fraud claims for false billing of urine … [Read more...]

ENFORCEMENT

FDA Watch: Agency Moves to Boost CLIA Waiver Transparency

The CLIA standards that a lab must meet are based on the complexity of the in vitro diagnostic tests it performs. The FDA's primary role in the CLIA system is to categorize IVDs. Test … [Read more...]

ENFORCEMENT

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

Doctor Pleads Guilty for Ordering Unnecessary Tests of Opioid Patients Case: A 72-year-old Detroit area physician pleaded guilty for his role in a $19 million Medicare fraud scheme. In addition to … [Read more...]

COMPLIANCE

Enforcement Trends: Private Sector Playing a Bigger Role in Lab Fraud Crackdown

Laboratories have been on the receiving end of health care fraud allegations for decades. But while the risk of prosecution and litigation haven't changed, the dynamics have. Although federal … [Read more...]

ENFORCEMENT

Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry

Lab Charged in Kickback Scheme Fights to Keep Its CLIA License Case: Next Health is in a legal fight for its life. Earlier this year, the feds indicted two officials of the Dallas lab company for … [Read more...]


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