Since 1995, Reliable Business Intelligence for Clinical Laboratories, Pathology Groups and Laboratory Diagnostics

January 2018

Allegations of Lab Test Fraud Involve Multiple Defendants

Clinical Laboratory / By Pamela Scherer McLeod

CEO SUMMARY: UnitedHealth made national news when it filed a $100 million lawsuit against Next Health and other defendants in Dallas in January 2017. The insurer alleged fraud involving clinical laboratory tests. That lawsuit is just the latest chapter in an almost decade-long string of legal proceedings involving the healthcare businesses some of the defendants have …

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January 22, 2018 Intelligence: Late Breaking Lab News

Late Breaking Lab News / By Robert Michel

In a first for Australia, a pathology lab was given authorization to use patient-collected cervical specimens from eligible women for cervical cancer screening purposes. VCS Pathology of Melbourne, Victoria, was given this authorization by Australia’s National Association of Testing Authorities (NATA). Other pathology labs in Australia are expected to be granted similar authorization in coming …

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After Court Decision, India Faces Shortage of Lab Professionals

Laboratory Management / By Joseph Burns

THERE IS ALREADY A SHORTAGE of competent professionals available to sign off on medical laboratory reports in India. Now a recent Supreme Court decision may exacerbate this problem. On Jan. 11, the Hindu Business Line, a newspaper, reported that medical labs across India could face a significant shortage of competent professionals to sign lab reports …

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Allegations in UHC health insurance fraud case involve multiple defendants

TDR Insider / By Mary Van Doren

This is an excerpt from a 5,000-word article in the January 22, 2018, issue of THE DARK REPORT. The complete article is available for a limited time to all readers, and available at all times to paid members of the Dark Intelligence Group. CEO SUMMARY: UnitedHealth made national news when it filed a $100 million lawsuit …

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After Two Decades, CMS Wants to Update CLIA Lab Regulations

Laboratory Compliance / By Joseph Burns

IN THE FIRST EFFORT OF ITS kIND in more than two decades, the federal Centers for Medicare and Medicaid Services has published a request for information (RFI) in the Federal Register as a first step to revise the CLIA rules it promulgated in 1992. Over the years, CMS has made some minor changes to the …

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To Grow Nationally, NY Lab Buys Tox Labs

Laboratory Management / By Joseph Burns

CEO SUMMARY: It is unusual when a regional health system’s clinical lab company acquires a commercial lab company outside its geographic home. But that’s what happened in December when Rochester Regional Health System’s subsidiary, ACM Global Laboratories, acquired a toxicology testing lab and a pre-employment drug-screening company, both in Horsham, Pa., more than 300 miles …

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Pulling Aside the Curtain on Alleged Lab Fraud

Commentary and Opinion by R. Lewis Dark / By R. Lewis Dark

IN RECENT YEARS, MANY CLINICAL LAB ADMINISTRATORS AND PATHOLOGISTS have looked with dismay at the increased fraud associated with the laboratory test referrals of office-based physicians. High-profile federal cases involving lab companies accused of fraud garner national headlines. Small companies sending sales reps into physicians’ offices, however, have changed the landscape in 2018 versus that …

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Former HDL CEO Mallory Sues Richmond Law Firm

Laboratory Management / By Joseph Burns

CEO SUMMARY: It’s a case of the client turning on the law firm. The former CEO of Health Diagnostic Laboratory is suing the law firm that advised her and her lab company on major legal matters. LeClairRyan of Richmond, Va., previously settled certain allegations with HDL’s bankruptcy trustee for $20.375 million. Now Mallory hopes to …

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Alberta Health to Build New Lab to Serve Edmonton, Province

Laboratory Management / By Joseph Burns

FOLLOWING YEARS OF CONTROVERSY associated with different plans to build a large new laboratory facility to serve Edmonton and the surrounding region, Alberta Health Services (AHS) will finance and build the new lab with its own resources. Last month, the Alberta government announced that it will develop a new central laboratory that will process 80% …

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ACLA Suit Challenges HHS’ Data-Collection Efforts

Laboratory Billing / By Joseph Burns

CEO SUMMARY: In a lawsuit filed last month, the American Clinical Laboratory Association charged that HHS failed to comply with the statutory requirements of the Protecting Access to Medicare Act of 2014 when setting the 2018 Clinical Laboratory Fee Schedule. In the lawsuit, ACLA said HHS disregarded the law’s requirement that all applicable laboratories would …

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