Reimbursement

New LCD Expanding Medicare Coverage for Circulating Tumor Cells Tests Is a Win for Biocept

Biocept announced that it has received expanded Medicare coverage for use of its Target Selector assay to identify HER-2 positive circulating tumor cells under a final CMS local coverage determination … [Read more...]

Enforcement

Fraud Recoveries Grow as Feds Target Telemedicine and COVID-19 Add-On Test Scams

Despite the COVID-19 pandemic and continued sequestration of enforcement funds, the federal Health Care Fraud and Abuse Control Program (Program) reversed recent trends and recovered more money in FY … [Read more...]

WORKPLACE SAFETY

CMS Couldn’t Verify Hospital Safety During COVID and Won’t Be Able to Do So in Next Pandemic

CMS was unable to determine whether hospitals were maintaining quality and safety standards during the COVID-19 crisis. And unless changes are made to its regulatory powers, it won’t be able to make … [Read more...]

Labs in Court

University of Miami Settles Lab Testing False Claim Charges for $22 Million

Case: In this particular case, “The U” stands for unnecessary, as in medically unnecessary lab tests billed to Medicare by the University of Miami’s lab and off campus hospital-based facilities. The … [Read more...]

DATA SECURITY

Health Care Data Breaches Hit a New High in First Half of 2021

While health care data breaches have become an all-too-common occurrence, the problem seems to be getting worse. According to the HHS’ Office for Civil Rights (OCR), there have already been 360 … [Read more...]

LDTs

VALID and VITAL Are Back in Play—and This Time One of Them Might Actually Pass

The COVID-19 pandemic exposed the truth of something the lab industry has known and publicly stated repeatedly for over a decade: The FDA is ill-equipped to regulate Laboratory Developed Tests (LDTs) … [Read more...]

Labs in Court

Texas Provider Pays $214K for Violating Federal COVID-19 Workplace Protocols

Case: In what appears to be a first, the Texas parent of an Iowa nursing home has agreed to repay $214,200 in federal monies for not following COVID-19 safety protocols during an outbreak at the … [Read more...]

FALSE CLAIMS

University of Miami Settles Lab Testing False Claim Charges for $22 Million

The University of Miami’s sports teams proudly refer to their school as “The U.” But to the whistleblowers who brought the original lawsuit against the University at the center of this settlement, … [Read more...]

FUNDING

The Biden Budget: The 9 Things Lab Managers Should Know

President Biden submitted his first budget to Congress. In case you don’t have the time or stomach to read the 1,000+ page document, here’s a very high-level briefing of what lab managers should know … [Read more...]

FALSE CLAIMS

Texas Provider Pays $214K for Violating Federal COVID-19 Workplace Protocols

In one of the first of what will likely be a flood of enforcement actions, the Texas parent of an Iowa nursing home has agreed to repay $214,200 in federal monies for not following coronavirus safety … [Read more...]


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