Potential penalties for Medicare violations will be higher if they're assessed on or after Oct. 11, 2018. That's when the newly announced Dept. of Health and Human Services' (HHS) inflation-adjusted … [Read more...]
ANTI-KICKBACK
Enforcement Trends: Feds Administer a Double Dose of Civil Monetary Penalty Increases
October 19, 2018
CONSUMER FRAUD
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
October 19, 2018
Aetna Settles with States of Victims of HIV Meds Envelope Privacy Snafu Case: Aetna is still paying for a disastrous miscalculation that may have revealed the HIV status of 12,000 beneficiaries … [Read more...]
COURT CASES
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
October 11, 2018
Alabama Hospital and Lab Subsidiary Agree to $4.25 Million Kickback Settlement Case: Aperian Laboratory Solutions and its parent East Alabama Medical Center will fork over $4.25 million + legal costs … [Read more...]
COMPLIANCE GUIDANCE
Compliance Perspectives: Managing Kickback Liability Risks of Specimen Processing Fees
October 9, 2018
It's common practice for labs to pay physicians a fee for collecting and processing blood, urine, tissue, and other specimens from the patients they refer to your lab for testing. While this might … [Read more...]
PATIENT SAFETY
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
September 27, 2018
Free Testing Supplies to Physicians Costs Massachusetts Lab $1.374 Million Case: A federal court ordered Calloway Laboratories, Inc. to pay $1,374,058 to settle claims of falsely billing … [Read more...]
COMPLIANCE PLANS
OIG Monthly Work Plan Review: September 2018
September 27, 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...]
HOSPITAL OUTREACH
Case of the Month: Fraud or Legitimate Rural Hospital Lab Outreach Business?
September 26, 2018
A North Carolina lawsuit pitting one of the nation's largest health insurers and a national hospital management company raises novel legal issues that test the legal limits of provider contracts … [Read more...]
FALSE CLAIMS
Dissolution: The Final Act of the Theranos Tragedy
September 26, 2018
Tragedy was a genre invented by the ancient Greeks to portray the fall of not just ordinary but great individuals. And while "Theranos" is not actually a Greek word (it's actually an amalgamation of … [Read more...]
ANTI-KICKBACK
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
September 5, 2018
Kickback Settlement Costs Pennsylvania Hospital $13.1 Million Case: The most expensive kickback settlement of 2018 to date features Post Acute Medical, LLC (PAM) in the starring role. The case … [Read more...]
WHISTLEBLOWERS
Labs In Court: A roundup of recent cases and enforcement actions involving the diagnostics industry
August 22, 2018
HDL's Former CEO Pays $10 Million to Settle Bankruptcy Claims Case: Health Diagnostic Laboratory co-founder and former CEO Tonya Mallory has agreed to pay $10 million to settle claims brought by the … [Read more...]
