EXAMINING CLINICAL LABORATORY SERVICES

Clinical laboratory services generated an estimated $87.3 billion in revenue in 2017, totaling 2.6% of annual healthcare spending in North America. This represents a large target for potential fraud and abuse. While the typical laboratory claim is relatively low in cost (less than $200), the sheer volume of laboratory services performed provides an opportunity for potential losses related to fraud and abuse in these services to reach the hundreds of millions of dollars.
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