Compliance

SAMP Labs is committed to having a Gold Standard Compliance Program.

Below are important compliance links:

PECOS

More information on PECOS and how to enroll in the system may be viewed at:

• https://pecos.cms.hhs.gov/providers/index.html

False Claim Act

The Office of Inspector General (OIG) takes the position that physicians or other individuals authorized by law to order laboratory tests, who knowingly cause a false claim submission to any federally funded program, may be subject to sanctions or remedies available under civil, criminal, and administrative law, such as the False Claims Act.

• https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Fast-Facts/False-Claims

Medicare Program Integrity Manual

Centers for Medicare & Medicaid Services (CMS) provides signature requirements guidance via CMS Change Request CR9225, CR9332:

• https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c03pdf.pdf

Local Coverage Determinations (LCD) guidelines and Medicare Coverage Articles

Local Coverage Determinations (LCD) guidelines may supplement or be in addition to the National Coverage Determinations and give direction for medical necessity on selected tests.

Medicare LCD #36668: Controlled Substance Monitoring and Drugs of Abuse Testing

• https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=36668

Medicare Coverage Article #A55001: Controlled Substance Monitoring and Drugs of Abuse Testing

• https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55001

Advance Beneficiary Notice of Noncoverage (ABN)

Please find additional information about ABNs at:

• https://www.cms.gov/Medicare/Medicare-General-Information/BNI/ABN

Compliance with Federal Beneficiary Inducement Statute, Anti-Kickback Statute, Stark Law and EKRA

SAMPLabs' policy is to fully comply with the Medicare Beneficiary Inducement Statute, Anti-Kickback Statute (AKS), Stark Law, and Eliminating Kickback in Recovery Act (EKRA). Please review the following web pages for more information:

• https://oig.hhs.gov/fraud/docs/alertsandbulletins/SABGiftsandInducements.pdf

• https://www.congress.gov/bill/115th-congress/senate-bill/3254/text

• https://oig.hhs.gov/compliance/provider-compliance-training/files/StarkandAKSChartHandout508.pdf