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

Quest Pays $315K for Self-Disclosed Rent Kickbacks to MDs. Case: Quest Diagnostics agreed to pay $315,093 for allegedly paying kickbacks to a referral source. Quest self-disclosed the conduct which … [Read more...]


FISH Test Crackdown against 21st Century Oncology Nets Nearly $25 Million… and Counting

$24.86 million. That's how much a whistleblower has made for the government and herself—so far—in a case against 21st Century Oncology for alleged fraudulent billing of fluorescence in situ … [Read more...]


Is Billing Medicare for Tests a False Claim If Your Lab Has Committed a CLIA Violation?

SITUATION XYZ Labs knows that it is currently committing quality control and other Clinical Laboratory Improvement Amendment (CLIA) violations. But it continues to bill Medicare for tests. A … [Read more...]


Compliance Issues Permeate Discussions Throughout Lab Institute

During three days of presentations, compliance issues for laboratories and pathologists permeated most of the discussions. Beginning with a workshop on workforce issues, speakers addressed compliance … [Read more...]


3 Things We Learned from New OIG Report on 2015’s Top 25 Lab Tests by Medicare Payment

Buried in the back of the Office of Inspector General (OIG) recent report on 2015 Medicare payments for Part B lab tests are three key revelations about the new Protecting Access to Medicare Act of … [Read more...]


No One-Size-Fits-All Answer for Frequency of Billing and Coding Audits

Q. How often should a laboratory conduct compliance audits of its billing and coding? A. The answer depends on many factors and will vary from provider to provider. The Office of Inspector General's … [Read more...]


Even Small Labs Can Yield Big Results from Simple, Low-Cost Informatics Strategies

Big Data, informatics and information systems are critical topics for the health care industry as reforms emphasize coordinating care, increasing quality and reducing costs. Capitalizing on the … [Read more...]


7 Service Terms to Include in Your Patient Debt Collection Agency Services Contract

Outsourcing patient collections enables labs to generate needed cash flow and concentrate on clinical operations. That, at least, is the theory. But the strategy does not always work. One of the key … [Read more...]