PRECISION MEDICINE

Myriad Genetics Pays $9.1 Million to Settle Hereditary Cancer Test False Billing Claims

In March 2018, Myriad Genetics got a piece of mail no lab provider ever wants to see in its inbox: an OIG subpoena asking for billing records in connection with "an investigation into possible false … [Read more...]

FOCUS ON

ACLA Court Win May Tip the Battle Over PAMA Pricing

Take that, CMS! The American Clinical Laboratory Association (ACLA) can sue to get the agency's PAMA lab pricing scheme struck down after all. So ruled the US Court of Appeals for the District of … [Read more...]

FOCUS ON

Data Breaches Leave Labs and Patients Exposed

Two recent data breaches at major labs may have compromised the personal health information of approximately 19.6 million patients. No wonder the industry and privacy experts are revisiting best … [Read more...]

ENFORCEMENT

Focus On: State AGs Break New Ground by Teaming Up to Enforce HIPAA

Lab managers and compliance officers take note: For the first time ever, state attorneys general (AGs) have banded together to go after a health care provider for HIPAA violations. Although the … [Read more...]

FOCUS ON

State Law Round-up: New Privacy Breach Notification Laws Potentially Affecting Labs

As illustrated by the recent MIE settlement (click here for the story), security breaches involving patients' electronic protected health information (ePHI) exposes your lab to liability risks under … [Read more...]

FOCUS ON

Surviving PAMA: Keep an Eye on Industry Disruptors

A talking point of a G2 Lab Institute 2018 presentation deserves closer attention, especially given its implications for the lab industry. "Advantages and Disadvantages Confronting Labs in a … [Read more...]

FOCUS ON

New Project Aims to Provide Legal Guidance Needed to Do Business in Genomics

Technology changes faster than the laws designed to regulate it. Thus, while DNA testing has changed medicine and fueled growth in the lab industry, it has also created new legal challenges that few … [Read more...]

COMPLIANCE

DOJ Explains What It Wants from a Compliance Program

While it may not prevent all violations, the right compliance program can help your lab get lighter penalties if things go wrong. But what exactly is "the right compliance program." On April 30, the … [Read more...]

FOCUS ON

Genomic Data Sharing: From Utopian Principle to Practical Reality

"Publicly available data should be treated as open data, a shared resource with unrestricted use for analysis, interpretation, and publication." --The journal Science report on genomic data … [Read more...]

FOCUS ON

Medicare Reimbursement: New Guidance on Date of Service Rules for Part B Billing of Hospital Outpatient Lab Tests

In 2018, new date-of-service rules took effect for billing and coding of outpatient lab tests under Medicare Part B, rather than as part of the Hospital Outpatient Prospective Payment System (HOPPS) … [Read more...]


(-00000g2)