Congress Moves to Require Medicare Coverage of Multi-Cancer Early Detection Tests
Federal lawmakers have renewed efforts to pass legislation ensuring Medicare coverage of multi-cancer early detection (MCED) tests.
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Whistleblowers: SCOTUS Gives DOJ Wider Authority to Dismiss Meritless Qui Tam Cases
Ruling could spell good news for labs and other healthcare providers targeted by whistleblowers in False Claims Act qui tam lawsuits.
Congress Moves to Permanently Restore Medicare Coverage of Pharmacy Lab Tests
Congress is renewing its previous efforts to make Medicare reimbursement of pharmacy testing permanent—here’s what that could mean for labs.
Case of the Month: Fraud or Legitimate Rural Hospital Lab Outreach Business?
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Case of the Month: Individual Principles Hit with $114.1 Million Verdict for Role in HDL Blood Test Fraud
From - National Intelligence Report
Roughly three years ago at this time, mega-scandals were in the news featuring diagnostic giants like Millennium, Health Diagnostic Laboratory (HDL), Biodiagnostic Laboratory Service and…
New Laws: Very Quietly, Congress Doubles Penalties for Medicare Fraud & Abuse
From - National Intelligence Report
Sneaky may be too strong a word. But what is fair to say is that the new hikes in federal health care fraud violation penalties have flown totally under the radar despite…
Medicare Reimbursement: Federal Government Funding Extension Includes a Boatload of Medicare Changes
From - National Intelligence Report
The government shutdown fiasco is having an impact on Medicare spending and reimbursement. But the crucial details are being buried in the legislative paperwork…
Case of Month: Using Window Envelope to Mail HIV Info Costs Aetna $17+ Million
From - National Intelligence Report
You talk about a mailroom mess-up! A shockingly bad choice in envelopes has just cost one of the country's largest health insurers over…
CLIA: After 36 Years, CMS Gives Lab Accreditation a Good Hard Look
From - National Intelligence Report
If you've been in the clinical labs business for a while, you probably appreciate the wisdom behind this ancient Chinese curse. 2018 is shaping up to be a very…
Employment Law Update for HR Managers October 2017
By Mike O'Brien bio
Here is my periodic update prepared for interested HR professionals trying to deal with the complex American employment laws…
Laboratory Industry Faces Uncertain Regulatory Policy
From - National Intelligence Report
While PAMA captured headlines at G2's 35th annual Lab Institute conference (Washington D.C.; Oct. 25-27), speakers presented how other regulatory efforts, including…