OIG Semiannual Report to Congress Highlights Fraud Recoveries

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December 1, 2015

Cigna Becomes First Insurer to Cover Whole Exome Sequencing

By Lori Solomon, Editor, Diagnostic Testing & Emerging Technologies

Cigna became the first national health insurance plan to publish a coverage policy on whole exome sequencing (WES). The insurer defined coverage criteria for WES, but still will not cover WGS for any indication…

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HHS' Top Ten Management Problems Include Labs

By Kelly A. Briganti, Editorial Director, G2 Intelligence

The OIG's FY 2015 Top Management and Performance Challenges target clinical laboratories among other providers as a necessary focus of efforts to fight fraud, abuse and waste in Medicare. Specifically, the report notes that while "[f]raud schemes shift over…

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CareEvolve's outreach connectivity solutions exchange laboratory results and orders between the Laboratory Information System and provider's Electronic Medical Record (EMR/EHR) systems. In addition to industry leading interconnectivity, CareEvolve  includes a cloud-based Patient Results Portal, Provider Portal and data analytic functionality. The CareEvolve solutions are currently interfaced with over 300 EMR products and transfer orders and results for more than 30,000 providers.  For more information, visit www.careevolve.com or call 888-322-5222.


Avellino Expands Gene Testing for LASIK Prep Test

By Ron Shinkman, Editor, Laboratory Industry Report

California-based Avellino Labs has expanded its molecular testing menu for patients who are considering lasik or other elective surgeries that will alter the structure of their eyes. Elective laser eye surgery, commonly known as LASIK, occurs millions of times a year in the United States, with the ophthalmologist using a laser to resect portions of the cornea in…

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OIG Semiannual Report to Congress Highlights Fraud Recoveries

By Kelly A. Briganti, Editorial Director, G2 Intelligence

The OIG released its Semiannual Report to Congress detailing its program integrity and oversight activities for the second half of the 2015 fiscal year (April to September) and highlighting its achievements—most notably its significant recoveries from…

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