PAMA

PAMA Update: OIG Status Report on Implementing New Medicare Fee Schedule for Part B Lab Tests

Transition to the new Medicare Part B payment system for lab tests under the Protecting Access to Medicare Act of 2014 (PAMA) is in full swing and about to heat up. With D-day set for Jan. 1, 2018, … [Read more...]

NEWS

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

Ex-Hospital Exec Pays $1 Million for Role in Kickback Scheme. Case: Last fall, Tuomey Healthcare shelled out $72.4 million to settle claims of paying part-time specialists for referrals of hospital … [Read more...]

NEWS

News at a Glance – September 2016

HIMSS Says Hospitals Slow to Adopt Precision Medicine. Precision medicine is slowly taking hold at the nation's hospitals, but the need to build up information technology to make it an organic part of … [Read more...]

NEWS

News at a Glance – July 2016

Gapfill Prices Cut Reimbursement for Molecular Testing. The Centers for Medicare & Medicaid Services (CMS) published interim gapfill prices for new CPT codes for molecular tests introduced earlier … [Read more...]

NEWS

News at a Glance – June 2016

Medicare Fraud Prevention System Saves $1.5 Billion. The Centers for Medicare & Medicaid Services (CMS) claims Big Data has yielded big savings for Medicare. CMS claims its Fraud Prevention System … [Read more...]

LDTS

News at a Glance – May 2016

PAMA Final Rule under OMB Review. The Centers for Medicare & Medicaid Services’ final rule implementing the Protecting Access to Medicare Act of 2014 (PAMA) is now under review by the White House … [Read more...]

News

News at a Glance

HHS Reports Medicare Spending Declined. After announcing that the goal of linking 30 percent of Medicare payments to quality was reached months earlier than anticipated, the U.S. Department of Health … [Read more...]

NEWS

News at a Glance – March 2016

HHS Achieves Milestone Ahead of Schedule. In January 2015, the Department of Health and Human Services (HHS) set a goal of tying roughly 30 percent of Medicare payments to alternative payment models … [Read more...]

ENFORCEMENT

Federal Fraud and Abuse Recoveries Down from Prior Fiscal Year

By Kelly A. Briganti, Editorial Director, G2 Intelligence Despite robust enforcement efforts and large scale investigations and takedowns, the overall recovery received in government coffers last … [Read more...]

News at a Glance – Feb 2016

Few Hospitals Planning for Precision Medicine. Except for academic medical centers, few hospital executives see personalized medicine playing a significant role at their organization, according to a … [Read more...]


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