Reliable Business Intelligence News About Clinical Laboratories, Pathology Groups, & Laboratory
Diagnostics Since 1995

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OIG Issues New Report on Medicare 2023 Lab Spend

Mandated by PAMA, OIG tracks yearly spending on Medicare Clinical Laboratory Fee Schedule

CEO SUMMARY: When the Office of the Inspector General (OIG) at the Department of Health and Human Services (HHS) issued its latest report on Medicare spending in 2023 for clinical laboratory tests, it attracted relatively little attention from the lab industry. Maybe other issues—such a...

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HHS Revises HIPAA Privacy, Security Rule

Major changes to privacy and cybersecurity are proposed; public comment ends March 7, 2025

CEO SUMMARY: Officials at the Department of Health and Human Services (HHS) are proposing significant changes in what observers are calling a major revision to HIPAA’s requirements for protected health information (PHI) and cybersecurity. HHS issued a statement that the objective of the...

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Negotiating Path Contracts with Hospitals, Third Parties

Anatomic pathology groups have many effective tools for boosting payments

PART THREE OF A SERIES TO HELP ANATOMIC PATHOLOGY GROUPS THRIVE AND PROSPER during these challenging times, The Dark Report presents this third installment in a series that identifies clinical, operational, and financial strategies pathology groups...

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Federal Lawsuit Favors Lab Accused of AKS Violations

Because it was a civil case, judge throws out EKRA claim, later rules lab did not violate AKS

CEO SUMMARY: This whistleblower lawsuit initially charged a clinical lab with, among other things, violating the Anti-Kickback Statute and EKRA. After the judge ruled to exclude the AKS and EKRA claims, the whistleblower refiled the case and included claims the lab paid commissions for th...

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Labs: Why it Pays to Know Your Customers

WOULD IT SURPRISE YOU TO LEARN THAT THERE ARE DOCTORS WHO ARE SERIAL WHISTLEBLOWERS? Given the ongoing amount of fraud in healthcare—partic...

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