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Liles Parker PLLC - Lawyer Website - Astra Sites Jan 09, 2021  · Liles Parker PLLC is a health care regulatory firm representing health care providers and suppliers around the country in complex business transactions, administrative, civil and criminal litigation.

Free Compliance Webinars Sponsored by Liles Parker Every month, Liles Parker offers free educational compliance webinars for clients and friends of the firm. For more information, call: 1 (800) 475-1906.

A UPIC audit of your Medicare / Medicaid claims is serious ... (Updated December 2020): Of the many contractors working for the Centers for Medicare and Medicaid Services (CMS), Unified Program Integrity Contractors (UPICs) are by far the serious financial threat to your practice, home health, hospice or DME company. A UPIC audit is serious business. Simply put, the UPIC program was intended to consolidate the work currently being performed by various ...

Medicare Providers and Suppliers are Being Put on ... Jan 20, 2021  · (January 19, 2021): As you will recall, on March 30, 2020, the Centers for Medicare and Medicaid Services (CMS) suspended most Medicare audits and reviews due to the COVID-19 national emergency. In early August, CMS instructed its contractors to resume their prepayment and postpayment audit activities. Over the last six months, we have seen a significant increase in the number of …

Audits of Respiratory (CPT Code 87633) / Gastro (CPT Code ... Jan 03, 2021  · (January 3, 2021): In recent months, we have seen a significant rise in the number of Medicare and Medicaid audits focusing on the medical necessity of certain outpatient Respiratory Viral Panels (CPT Code 87633) and Gastrointestinal Pathogen Panels (CPT Code 87507).Unfortunately, many of these audits seem to be merely the latest example where payors have conflated the issues of …

Zone Program Integrity Contractor (ZPIC) Investigations ... Jan 04, 2021  · (Updated January 4, 2021): In April 2014, the Centers for Medicare and Medicaid Services (CMS) issued an an Umbrella Statement of Work for the the awarding of program integrity contracts by new organizations known as “Unified Program Integrity Contractors” (UPICs). UPICs took over the responsibilities of Zone Program Integrity Contractors (ZPICs) and Medicaid Integrity Contractors (MICs).

Preparing for a UPIC Audit? Examine These Eight Claim ... Jan 09, 2021  · [1] A detailed discussion of the UPIC audit process can be found at the following link. [2] For an overview of the impact of an “exclusion” action, please see Paul Wiedenfeld’s article titled “A Provider’s Guide to OIG Exclusions.” [3] A detailed discussion of a provider’s repayment obligations when an overpayment has been identified can be found at this link.

Overseas Outsourced Billing and Coding - Liles Parker PLLC Aug 16, 2012  · Overseas outsourced billing is growing in popularity for medical office functions, this practice represents a growing set of problems for physicians, billers. Call the health lawyers at Liles Parker for a free consultation. 1 (800) 475-1906

Responding to an Texas Medical Board Complaint and ... Jul 07, 2014  · (July 7, 2014): The Texas Medical Board (Board) investigates complaints against physicians, physician assistants, acupuncturists and surgical assistants.A Texas Medical Board complaint can be filed by a patient, a patient’s family or a health care provider. On the average, the Board receives and evaluates over 7,000 complaints each year.

Compliance Training for Clinical and Administrative Staff ... Liles Parker's Compliance Training for Clinical and Administrative Staff.If you have questions about training or other compliance issues, contact Liles Parker today. Our attorneys have vast health care compliance experience and are able to assist with all your training and other compliance needs. Call us for a free initial consultation: 1 (800) 475-1906.

What is Civil Fraud? | Liles Parker PLLC Jun 18, 2018  · (Updated June 18, 2018): According to the Association of Certified Fraud Examiners, money lost due to fraud costs businesses and private parties over $3.5 trillion per year. This information, coupled with their assertion that instances of fraud have been dramatically increasing within the last few years, offers an eye-opening revelation not only for business, but all citizens of the United States.

Associate Attorney Mary Soule Cutler | Liles Parker PLLC Practic Concentration And Experience: Mary Soule Culter is an Associate Attorney at Liles Parker’s Washington, DC office. She focuses her practice on regulatory health care compliance matters, fraud and abuse, and reimbursement issues.

Basic Compliance Policies and Procedures : Liles Parker PLLC Jan 05, 2016  · Medicare and Medicaid providers and suppliers are required to develop and implement an effective Compliance Program. There are a number of basic compliance policies and procedures that will comprise an integral part of this effort. For assistance, call Liles Parker, PLLC at: 1 (800) 475-1906.

What is a Referral Under the Anti ... - Liles Parker PLLC Jan 26, 2021  · The Federal Anti-Kickback statute makes it a crime to provide something of value to a party as an inducement for the referral of a beneficiary for Federal health care services. Is your medical practice, home health agency or hospice facing kickback allegations? Call the attorneys at …

Mandatory Compliance Programs for Medicare Providers. Jul 30, 2014  · Under the ACA, mandatory compliance programs are an obligation of Medicare and Medicaid providers. Call the health law attorneys at Liles Parker, PLLC, for assistance developing and implementing an effective compliance program. 1 (800) 475-1906.

The Proper Use of Hotel Occupancy Tax Funds is Essential Mar 22, 2011  · (March 22, 2011): In Part I the term Hotel Occupancy Tax was defined, and examples of how it can be used were given. Hotel Occupancy Tax funds (in Texas) are to be spent on authorized uses if the HOT funds are spent in a manner directly enhancing and promoting tourism and the convention and hotel industry.. I. Two-Part Test For Hotel Occupancy Tax Funds in Texas:

Responding to a State Nursing Board Complaint | Liles ... Registered Nurses (RNs) and Advanced Practice Registered Nurses (APRNs), such as Nurse Practitioners, Clinical Nurse Specialists, Nurse Anesthetists, or Nurse Midwives are regulated in most states by their respective State Board of Nursing (Nursing Board). This article is intended to provide a general overview of the complaint process and address issues that you may face if a complaint is ...

Attorney Leonard Schneider, Esq. | Liles Parker PLLC Leonard is an attorney with Liles Parker in the Houston office. He focuses on municipal law, contract and business law, employment and commerce issues

Sleep Lab Claims and Billing Practices are Being Audited ... Oct 24, 2013  · Medicare is auditing sleep lab claims and billing practices. Is your sleep clinic being audited by a Medicare contractor? Call the health lawyers at Liles Parker, PLLC, for …

Ismail Laher | Attorney | Liles Parker PLLC Ismail Laher represents individuals and businesses in complex civil and transactional matters, in addition to immigration concerns and other advisory roles.

Transcranial Magnetic Stimulation Claims Audits by ... Jul 16, 2018  · (July 16, 2018): Do you provide Transcranial Magnetic Stimulation care and treatment services? If so, you need to ensure that your medical necessity, documentation, coding and billing practices fully comply with applicable statutory, regulatory and administrative guidelines.

TAHCH Webinars | Liles Parker PLLC Liles Parker PLLC is pleased to announce its upcoming Webinar Wednesday series in partnership with the Texas Association for Home Care & Hospice (TAHCH). Starting January 2016, Liles Parker attorneys will provide a monthly hour-long webinar on pertinent compliance issues facing home health, hospice, and personal care agencies.

Heidi Kocher, Partner, Liles Parker, Attorneys ... Heidi Kocher is an experienced health lawyer representing health providers / suppliers NATIONWIDE. Need help? Free consultation: 1 (800) 475-1906.

AMBA Webinars | Liles Parker PLLC Liles Parker currently serves as "Compliance Legal Counsel" for the American Medical Billing Association (AMBA). Our attorneys founded and co-sponsored a monthly, interactive webinar series with the AMBA which is participated in by hundreds of health care providers and medical billers each and every month. These free webinars are currently approved for the following CEU credit:

Transcranial Magnetic Stimulation Claims Audits by ... Jul 16, 2018  · Liles Parker PLLC. A National Health Care Law and Business Transactions Firm that Primarily defends Health Care Providers in Audits & Investigations

Dangers of Billing Payors for the Services of a Non ... Aug 17, 2019  · (August 17, 2019): Over the last year, we have seen a significant increase in the number of Medicaid and private insurance audits of dental claims.A common trigger for these audits included instances in which a practice improperly billed for the services of a non-credentialed dentist while using the identification number of a credentialed provider.

Texas Providers Must Have an Effective Medicaid Compliance ... Feb 21, 2014  · According to your Texas Medicaid contract, you must have an effective Medicaid compliance program in place. For assistance in developing and implementing an effective compliance program, call the health lawyers at Liles Parker, PLLC, at: 1 (800) 475-1906.

Lorraine Ater Rosado | Liles Parker PLLC Practice Concentration and Experience: Lorraine Ater Rosado is a key member of Liles Parker’s healthcare team. She defends healthcare providers facing overpayment claims and counsels clients nationwide on compliance with healthcare statutes, regulations, and contract matters.

AdQIC: A Brief Refresher on the Role This Contractor Plays ... Jun 15, 2012  · Robert Liles is the managing member of Liles Parker PLLC, a Washington D.C.-based health law and business transactions firm. Robert represents clients in Medicare and Medicaid administrative appeals, fraud and abuse issues, Compliance Plan drafting and implementation, and training of healthcare professionals in legal issues which might affect them.

Private Insurance Payors are Aggressively Conducting ... May 26, 2017  · Private insurance payors are actively conducting acupuncture audits around the country. Are your acupuncture claims being audited? Call the experienced health law attorneys at Liles Parker. PLLC, for assistance. For a free consultation, call: 1 (800) 475-1906.

Aetna’s SIU is Actively Auditing Dental Claims | Liles ... Jan 03, 2019  · Aetna is one of the largest insurance payors currently offering dental service plans. In fact, more than 12.7 million individuals now have coverage for dental services through Aetna. The payor has developed dental benefits packages that are offered by a number of Medicare Advantage, Medicaid and private plans around the country.

Client Client Testimonials | Liles Parker PLLC FIRM NEWS & SUCCESS STORIES: While each client and each case of the firm is unique, we are setting out below a representative sampling of some of the types of matters we have successfully handled.Names, Location, and specific details have been omitted or changed to preserve client identity. (Please be aware that any success in a previous case is no guarantee of a successful outcome in a a ...

Ashley Morgan, Senior Counsel, Liles Parker PLLC : Liles ... Ashley Morgan is an experienced health lawyer. Does your health care practice need legal help? Call Ashley for a free consultation. 1 (800) 475-1906

NBI MEDIC Complaint Referrals to State Medical Boards Jun 28, 2017  · NBI MEDIC audits are resulting in complaint referrals to licensing boards and law enforcement. Are you being audited? The attorneys at Liles Parker, Attorneys & Counselors at Law, can represent you when responding to a Board complaint. Call for a free consultation. 1 (800) 475-1906.

Revocation of Your Medicare Billing Privileges | Liles ... Dec 14, 2017  · The revocation of your Medicare billing privileges can subject your practice to financial ruin! (December 14, 2017): The Centers for Medicare and Medicaid Services (CMS) has engaged various types of outside contracting entities to perform program integrity functions on behalf of the Medicare program. At the present time, Uniform Program Integrity Contractors (UPICs) and Zone Program …

Does Your Practice Have a Compliance Officer or Compliance ... Oct 29, 2015  · A compliance officer or compliance committee is required for your medical practice to meet its obligations under the law as a Medicare / Medicaid provider. Do you need help implementing a compliance program? Call the health law attorneys at Liles Parker, PLLC for assistance. 1 …

Audits of Respiratory (CPT Code 87633) / Gastro (CPT Code ... Jan 03, 2021  · Liles Parker PLLC. A National Health Care Law and Business Transactions Firm that Primarily defends Health Care Providers in Audits & Investigations

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