decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Fraud Alerts / OIG Special Fraud Alerts / Special Fraud Alert_October 1994 / Provision of phlebotomy services to physicians
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Article Overview
This special fraud alert explains how the Office of Inspector General views laboratory-provided phlebotomy services in physician offices and similar settings. It focuses on the compliance concerns that arise when staff supplied by a lab perform duties beyond specimen collection and on why contractual limits may not be enough on their own. The article is relevant to compliance teams, laboratories, physician practices, and other providers that arrange specimen collection services.
Why This Topic Matters
The topic sits at the intersection of laboratory operations, physician-office workflow, and Anti-Kickback Statute risk. Understanding the OIG’s concerns can help organizations evaluate service arrangements for potential fraud and abuse exposure.
What You Will Learn
- How the special fraud alert frames laboratory phlebotomy arrangements in provider offices
- Why non-specimen-related duties can raise fraud and abuse concerns
- How the guidance extends to other health care settings
- Why written restrictions alone may not resolve compliance risk
Who Should Read This
- Laboratories
- Physician practices
- Healthcare compliance officers
- Healthcare attorneys
- Revenue cycle and billing staff
- Clinic and hospital administrators
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