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.
Enforcement Trends: Record Breaking Year for HIPAA Fines
From - National Intelligence Report
The federal Office for Civil Rights (OCR) reports that 2018 was a record year for HIPAA enforcement, with 10 settlements and one judgment bringing in…
Enforcement Trends: After 2017 Decline, False Claims Act Healthcare Recoveries Bounce Back
From - National Intelligence Report
Although the False Claims Act (FCA) remains a federal enforcement cash cow, the growth rate has fallen off in recent years, at least in the…
New Law: EKRA Makes Drug Addiction & Rehab Labs Potential Targets for Federal Prosecution
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Enforcement Trends: Opioid Crackdown Is Diverting Resources from Traditional OIG Enforcement Activities
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Feds Continue Roundup of Physicians on Receiving End of Millennium Labs Test Cups Freebie
From - National Intelligence Report
The Millennium Laboratories free point of care test (POCT) cups scandal has been described as the biggest kickback scandal involving…
Florida Doctor Jailed 5 Months for Lying to a Medicare Auditor
From - National Intelligence Report
Lying to a Medicare auditor or otherwise obstructing a Medicare audit is a crime that can get you jailed…
Case of the Month: Fraud or Legitimate Rural Hospital Lab Outreach Business?
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Case of the Month: Alabama Hospital Lab Settles Data Breach Class Action Suit
From - National Intelligence Report
Class action lawsuits by patients victimized by data breaches have become increasingly common. And, more often than not, they prove unsuccessful…
Connecticut Hospital Settles Self-Disclosed Stark Violations for $423K
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