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EXAMINING CLINICAL LABORATORY SERVICES

EXAMINING CLINICAL LABORATORY SERVICES A Review by the Healthcare Fraud Prevention Partnership MAY 2018 HEALTHCARE FRAUD PREVENTION PARTNERSHIP TABLE OF CONTENTS Executive Summary .. 2 Background, Introduction, and Objectives .. 3 The LABORATORY Testing Industry in the Context of Fraud .. 4 LABORATORY Industry .. 4 Regulation and Oversight .. 4 Estimates of the Cost of Fraud and 5 Systemic Challenges .. 6 Major Fraud and Abuse Schemes .. 7 Abuse of Billing Standards ..7 Improper LABORATORY Relationships.

Clinical laboratory services, when appropriately applied, can assist to diagnose illness or disease, ... procedures.[2] In some instances, fraud schemes have resulted in the victimization and harm of patients, as well as fnancial bankruptcy of legitimate organizations.

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