Case: The plot unfolded 10 years ago when a then 26-year-old woman and three co-conspirators set up 24 phony diagnostic testing centers in Houston. Offices were rented in 28 locations even though none … [Read more...]
LEGISLATION
New Laws: Congress Tables Bill to Make Whole-Genome Sequencing Available to Medicaid Kids
August 26, 2019
In early August, Representatives Scott Peters (D-CA) and John Shimkus (R-IL) introduced in the US House of Representatives a bill to provide "certain undiagnosed children under the Medicaid program" … [Read more...]
ENFORCEMENT
CMS Takes 3 New Measures to Bolster Medicaid Program Integrity
August 20, 2018
With Medicaid spending on the rapid ascent, CMS unveiled a trio of new initiatives to bolster program integrity and make states more accountable for compliance with federal rules. 1. MLR Audits CMS … [Read more...]
COMPLIANCE
Brief Your CEO: Medicaid Enforcement Trends & Their Impact on Labs
May 28, 2018
While they do not have to embroil themselves in the day-to-day compliance program details, the C-Suiters do need to be on top of general health care enforcement trends affecting your lab. OIG reports … [Read more...]
