New Laws: Very Quietly, Congress Doubles Penalties for Medicare Fraud & Abuse

Sneaky may be too strong a word. But what is fair to say is that the new hikes in federal health care fraud violation penalties have flown totally under the radar despite their obvious and immediate … [Read more...]


Medicare Reimbursement: Federal Government Funding Extension Includes a Boatload of Medicare Changes

The government shutdown fiasco is having an impact on Medicare spending and reimbursement. But the crucial details are being buried in the legislative paperwork. So we decided to ferret them out for … [Read more...]


Case of Month: Using Window Envelope to Mail HIV Info Costs Aetna $17+ Million

You talk about a mailroom mess-up! A shockingly bad choice in envelopes has just cost one of the country's largest health insurers over $17 million. The Lawsuit On Jan. 16, Aetna agreed to pay … [Read more...]


CLIA: After 36 Years, CMS Gives Lab Accreditation a Good Hard Look

"May you live in interesting times." If you've been in the clinical labs business for a while, you probably appreciate the wisdom behind this ancient Chinese curse. 2018 is shaping up to be a very … [Read more...]


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

Opioid Subscribing Doctor Convicted in Lab Referral Kickback Scam Case: Two doctors at a Maryland pain management clinic that prescribed pain relief medications to patients accepted kickbacks to … [Read more...]


Employment Law Update for HR Managers October 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: Federal agencies take … [Read more...]


Laboratory Industry Faces Uncertain Regulatory Policy

While PAMA captured headlines at G2's 35th annual Lab Institute conference (Washington D.C.; Oct. 25-27), speakers presented how other regulatory efforts, including the Affordable Care Act (ACA), … [Read more...]


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...]


Here’s my latest Employment Law update prepared for many HR professionals

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...]


Should you be paying your staff overtime?

By Nick Hernandez  bio It is a recurrent challenge for human resource professionals: Determining whether an employee is exempt from the overtime requirements of the Fair Labor Standards Act … [Read more...]