Laboratory

Laboratory Question for the Week of September 30, 2019

Laboratory Compliance Question of the Week

Question:

How are laboratories vulnerable to the risk of fraud and abuse?

Answer:

The Centers for Medicare & Medicaid Services (CMS) in conjunction with the Healthcare Fraud Prevention Partnership (HFPP) highlight key reasons that all laboratories may be vulnerable to fraud and abuse schemes:

  • The variety and number of laboratories
  • Dual factor high-volume/low dollar characteristics of ordering, providing, and billing
  • Specialization complexity, technical challenges, and evolution of services.

This question was answered in an edition of our Laboratory Compliance Manager. For more hot topics relating to laboratory services, please visit our store or call us at 1.800.252.1578, ext. 2.