Enforcement Trends: OIG Calls Out CMS for Not Preventing Medicare Genetic Testing Overpayments
Inadequate CMS oversight resulted in $888.2 million in improper payments for the highest reimbursing molecular pathology genetic tests, report says.
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Articles and Reports
Enforcement Trends: The Urine Drug Testing Crackdown and Three Ways to Avoid It
False billing of urine drug tests (UDTs) continues to be a focus for enforcement agencies in 2023, here’s how to avoid compliance issues.
OIG Semi-Annual Report Calls Out Drug, Genetic, and COVID-19 Testing Fraud
These three lab testing areas were the main sources of fraud and abuse revealed in the OIG’s latest Semi-Annual Report to Congress.
OIG Says No to Lab Providing Free Labeling Services to Dialysis Facility
From - G2 Compliance Advisor
Reiterating its longstanding aversion to labs providing free items or services to referral sources, the Department of Health & Human Services Office of Inspector General (OIG) issued an…
OIG Report Highlights Aggressive Enforcement
From - National Intelligence Report
The OIG's latest semiannual report to Congress as usual touts its successes with oversight and enforcement and provides a guide to…
Crosswalked Codes in 2017 Clinical Laboratory Fee Schedule
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2017 OIG Work Plan Holds Few Surprises for Labs
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OIG Releases 2017 Work Plan
From - National Intelligence Report
There are few surprises in the Health and Human Services Office of Inspector General's 2017 Work Plan. The OIG's annual Work Plan provides…
OIG Celebrates 40 Years of Fraud Fighting
From - National Intelligence Report
Oct. 15, 2016 marks 40 years since the U.S. Department of Health & Human Services (HHS) Office of Inspector General (OIG) was launched in…
Lab Settlements Resolve False Claims Cases
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Continuum Settles Reverse False Claims Case
From - National Intelligence Report
Facing the uncertainty of trial, Continuum has officially settled reverse false claims allegations for…
OIG Report Indicates Limited Success for Senior Medicare Patrol
From - National Intelligence Report
An Office of Inspector General report detailing results of 2015 enforcement efforts by the Senior Medicare Patrol (SMP) show success but not overwhelming recoveries. However, the report cautions that…