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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.

organizations, and healthcare anti-fraud associations that seeks to identify and reduce fraud, waste, and abuse across the healthcare sector.[1] To advance this effort, entities that participate in the HFPP, known as Partners, regularly collaborate, share information and data, and conduct studies using a unique cross-payer data set.

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