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The False Claims Act (FCA) is an important and complicated regulation. It impacts anyone that bills Medicare and Medicaid. As such, diagnostic labs that bill these entities must heed the regulations set forth by the FCA. A failure to do so can result in severe...
Those who own and operate diagnostic testing and reference labs must balance their desire to serve hospitals, health centers, and other clients with the basic demands of business operations while simultaneously making sure their lab remains in full compliance with all...
U.S. District Judge Jeremy D. Kernodle recently concluded a seven-week-long trial of five defendants. The state accused the five defendants, a mix of lab and hospital executives, of Anti-Kickback Statute violations allegedly involving physicians making referrals to a...
The federal government recently accused a group of over three dozen healthcare professionals from throughout the country of working together to defraud the government. The prosecution claims the accused conspired to falsely charge the government for medically...
The Department of Justice (DOJ) recently announced that it will move forward with criminal charges against two Texas business owners. The diagnostic laboratory owners claim to own multiple locations throughout the state. The feds argue that the business owners made up...
Lawmakers initially enacted the Eliminating Kickbacks Recovery Act (EKRA) four years ago as part of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act). Although touted by Congress as a law...
Ordering a test for a patient seems like an innocuous and potentially necessary step towards quality medical care, but the government does not always see it this way. The federal government is cracking down on physician practices and hospitals who overutilize testing....
The Eliminating Kickbacks in Recover Act (EKRA) is known for many things, but clarity is not one of them. It provides a tool for the government to fight the opioid epidemic in our country, which is a noble cause. Unfortunately, lawmakers left portions of the law too...
The feds have continued their crackdown on misuse of federal funds. A recent case provides an example of how the United States Department of Justice (DOJ) handles a situation with a focus specifically on diagnostic laboratories. The government claims the lab in this...
The law is constantly evolving. One of the most recent examples is lawmakers’ attempts to address the opioid crisis. In an effort to curtail the abuse of this highly addictive medication, Congress passed the Eliminating Kickbacks in Recovery Act of 2018 (EKRA),...