tci Part B Insider - 2014 Issue 24

Compliance: OIG: We're Looking at You, Laboratories

Latest ‘Special Fraud Alert’ hones in on labs’ connections to physician practices. The relationship between physician practices and laboratories has been under scrutiny for many years, but the OIG has recently taken an extra step in its oversight of this connection.  On June 25, the OIG released its “Special Fraud Alert: Laboratory Payments to Referring Physicians” document, which outlines the various arrangements under which labs and medical practices can run afoul of the law. Specifically, the OIG is focusing on “transfers of value” from labs to physicians that represent a substantial risk of fraud and...

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