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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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.
Program Integrity Saves Medicare $42 Billion
From - National Intelligence Report
In a new report to Congress, the Centers for Medicare & Medicaid Services reports the Program Integrity activities have saved Medicare and…
Democratic Committee Leaders and CMS Present Latest Challenges to Theranos
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FCA Penalties Nearly Double Under DOJ’s Interim Final Rule
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Lab Implicated in Long-Running Kickback Case Pleads Guilty, Forfeits Assets
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Department of Justice Nearly Doubles FCA Penalties
From - National Intelligence Report
June 30, the Department of Justice (DOJ) published an Interim Final Rule in the Federal Register that has significant ramifications for enforcement under the…
Largest Strike Force Takedown in History Charges 300 Individuals
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U.S. Supreme Court Says Failure to Disclose Noncompliance Can Lead to False Claims Liability
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Senior Medicare Patrol Projects Show Low ROI in Fighting Fraud and Abuse
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U.S. Supreme Court Recognizes FCA Liability for Implied False Certification
From - National Intelligence Report
While the long awaited release of the PAMA rule has received a lot of attention, a significant False Claims Act (FCA) decision by the U.S. Supreme Court was also…
CMS Reports Medicare Fraud Prevention System Saves $1.5 Billion
From - National Intelligence Report
While Big Data can mean new opportunities for increasing efficiencies and revenues for the laboratory industry, the Centers for Medicare & Medicaid Services (CMS) claims Big Data has yielded big savings for…
