COMPLIANCE

OIG Updates 2016 Work Plan Adding New Lab Agenda Item

By Kelly A. Briganti, Editorial Director, G2 Intelligence The U.S. Health and Human Services Office of Inspector General released its mid-year update to the Annual Work Plan, adding and revising … [Read more...]

Compliance

OIG Mid-Year Work Plan Update Adds PAMA-Focused Lab Item

The U.S. Department of Health and Human Services Office of Inspector General released its mid-year update to the Annual Work Plan, adding and revising items relevant to lab enforcement efforts. The … [Read more...]

REIMBURSEMENT

Lab Sector Continues to Actively Fight Potential Medicare Co-Payment Collections

While laboratory developed tests and PAMA’s impact on Medicare reimbursement are front of mind for most laboratories, there remains a lingering concern within the industry that the government hasn’t … [Read more...]

ENFORCEMENT

OIG and CMS Tout Recent Enforcement Successes and the Pivotal Role of Data Analytics

In recent reports, both the U.S. Department of Health and Human Services’ Office of Inspector General (OIG) and the Centers for Medicare and Medicaid Services (CMS) plugged their successes at routing … [Read more...]

OIG

HHS Releases OIG Seminannual Report to Congress

By Kelly A. Briganti, Editorial Director, G2 Intelligence The U.S. Department of Health and Human Services' Office of Inspector General (OIG) touted its efforts and achievements for the six-month … [Read more...]

REIMBURSEMENT

Labs Ask OIG to Back Off on Co-Payment Collections

That laboratories could be left on the hook to collect co-payments and deductibles from patients enrolled in Medicare is a remote possibility these days, but the sector is concerned that it could … [Read more...]

ENFORCEMENT

OIG Video Spotlights Physician Kickbacks

By Kelly A. Briganti, Editorial Director, G2 Intelligence The U.S. Health and Human Services Office of Inspector General's (OIG's) concern about kickbacks to referral sources is nothing new. But the … [Read more...]

ANTI-KICKBACK

New OIG Advisory Opinion Addresses GPO That Includes Labs

By Kelly A. Briganti, Editorial Director, G2 Intelligence Group purchasing organizations (GPOs) are entities that act as a purchaser of supplies and equipment for a number of other entities—usually … [Read more...]

ANTI-KICKBACK

OIG Issues Advisory Opinion for Group Purchasing Organization That Includes Labs

Group purchasing organizations (GPOs) are entities that act as a purchaser of supplies and equipment for a number of other entities—usually health care providers such as hospitals. Laboratories can … [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...]


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