FOCUS ON

Kickbacks: Does OIG Green Light of Free Product Replacements Open Door for Lab Freebies?

The OIG's aversion to offering freebies of any kind to referral sources is longstanding and well known. So the Aug. 25, 2017 Advisory Opinion clearing the way for a provider to replace spoiled … [Read more...]

NEWS

Compliance Planning: OIG Switches from Semi-Annual to Monthly Work Plan Updates

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...]

ENFORCEMENT TRENDS

Enforcement Trends: Labs Get Cameo, Rather than Starring Role in OIG’s New Enforcement Report

The Office of Inspector General just published its Semiannual Report to Congress (covering Oct. 1, 2016 through March 31, 2017). It's mostly more of the same other than the fact that, for once, … [Read more...]

FDA

GAO Faults U.S. Handling of Zika Outbreak; IDs Challenges to Test Development

The US. Government Accountability Office (GAO) found that the U.S. Department of Health and Human Services was "reactive" in its handling of the Zika virus outbreak including in its preparedness, … [Read more...]

ENFORCEMENT

CMS, OIG Reps Address PAMA, Fraud Enforcement at ACLA Annual Meeting

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

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...]

OIG

OIG Fraud Alert Warns of Hotline Scammers

The OIG issued a Fraud Alert recently—but it didn't warn about improper referral arrangements or billing for medically unnecessary testing. It was a warning that scammers are representing themselves … [Read more...]

ENFORCEMENT

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...]

COMPLIANCE

OIG Updates Threshold for Nominal Value Gifts

Just as the civil monetary penalties have gotten an update to adjust for inflation (see "Civil Monetary Penalties Rules Updated" Lab & Pathology Insider, Jan. 3, 2017), so too have the thresholds … [Read more...]

ENFORCEMENT

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...]


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