COMPLIANCE PLANS

OIG Monthly Work Plan Review: September 2018

Neither of the two new OIG Work Plan items directly impacts labs but both address areas of national concern and have potential long-term implications on at least some labs. 1. Follow-Up Review of … [Read more...]

COMPLIANCE PLANS

TOOL: Model Specimen Processing Fees Compliance Policy

Here's a Model Policy your lab can adapt to ensure that specimen processing fee arrangements with referral sources don't violate the Anti-Kickback and Stark laws. … [Read more...]

COMPLIANCE PLANS

OIG Monthly Work Plan Review: August 2018

Of the 12 new Work Plan items, four have direct implications for labs and billing of lab tests. 1. Medicare Payments for Clinical Diagnostic Laboratory Tests in 2017: Year 4 of Baseline Data Issue: … [Read more...]

COMPLIANCE PLANS

OIG Work Plan Monthly Review: July 2018

None of the six new items that OIG added to its Work Plan last month directly impact labs. 1. Identification of HHS Cybersecurity Vulnerabilities Questions: Where are the cybersecurity … [Read more...]

COMPLIANCE PLANS

OIG Work Plan Monthly Review: June 2018

None of the eight new Work Plan items for June directly address labs and lab testing. However, five of the items may indirectly labs that are part of larger health networks participating in the … [Read more...]

COMPLIANCE

OIG Work Plan Monthly Review: May 2018

Of the seven new Work Plan items, none directly impact labs and lab services. However, one item on Medicare Part B reimbursement of outpatient cardiac and pulmonary rehab services may have an indirect … [Read more...]

COMPLIANCE

OIG Work Plan Monthly Review: April 2018

Four of the six new items that the OIG added to its workplan have an impact—albeit indirect—on labs: 1. CMS Recovery of Medicare Overpayments Issue: Between Oct. 1, 2014 and Dec. 31, 2016, OIG … [Read more...]

LEGISLATION

Brief Your CEO: New Penalties Double the Dollar Value of Protecting Your Lab from Liability

You may not realize this, but Congress has just doubled the dollar value of what you do as a compliance manager to keep your lab out of federal health care fraud hot water. How? By significantly … [Read more...]

COMPLIANCE PLANS

OIG Work Plan Monthly Review: March 2018

One of the seven new items on the OIG's Work Plan this month, one deals with child support. Among the six items focusing directly on health care, none directly address clinical laboratories or … [Read more...]

COMPLIANCE PLANS

OIG Work Plan Monthly Review: February 2018

The three new items OIG added to its Work Plan this month focus on various oversight of Medicare and Medicaid program initiatives, including State Medicaid fraud enforcement, processing of provider … [Read more...]


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