Heidi Kocher Joins Liles Parker PLLC as Counsel
(August 28, 2014) Liles Parker PLLC is happy to announce that Heidi Kocher has joined the firm as Counsel. Ms. Kocher has nearly 20 years of healthcare law and compliance experience, representing a varied spectrum of healthcare providers. In addition to representing many types of healthcare providers, from physician practices and hospitals to ancillary providers such as DME companies and pharmacies. Her clients have ranged in size from large corporations to small solo practices. Her experience includes compliance, HIPAA privacy, transactional, fraud and abuse, coding, and international matters, she has worked at a large hospital corporation and a medical device ...
CMS Clarifies HHA Definition of “Confined to Home”
On August 1, 2014, the Centers for Medicare & Medicaid Services (CMS) issued Transmittal 192, clarifying the definition of “confined to home” as found in the Medicare Benefit Policy Manual. This clarification more accurately articulates the homebound definition found in the Social Security Act and is intended to prevent confusion and promote greater enforcement of the statute. The homebound clarification takes effect September 2, 2014. I. Clarifying the Homebound Definition One of the eligibility requirements for Medicare coverage of home health care is that a beneficiary must be certified as “homebound.” The latest transmittal clarifies the definition of “confined to home” in ...
HIPAA Risk Assessments are Essential to Avoid Liability: Part I
(August 23, 2014): Almost all health care providers and suppliers qualify as a "covered entity" under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Together with the "business associates" with whom they work, these entities are responsible for ensuring that any protected health information (PHI) under their control has been properly secured and remains confidential. Let's face it, the regulations governing a health care provider's obligations under HIPAA are both extensive and complex. Many small and mid-sized health care providers and suppliers have found it difficult to fully comply with their many statutory obligations under HIPAA's privacy and security mandates. Nevertheless, it ...
OIG Study Finds Nursing Facilities Ineffective in Reporting All Allegations of Patient Abuse or Neglect
(August 21, 2014): Nursing facilities are required and expected to report any and all allegations of patient abuse or neglect to ensure patient safety. A recent study of their records by the Department of Health and Human Services’ Office of Inspector General (OIG) has found that a number of these facilities have not been fully compliant with this requirement. Many of these facilities likely lack an effective compliance plan that would safeguard against this problem. I. Policies and Procedures For Reporting Allegations of Abuse or Neglect: The elderly population in the United States is projected to more than double from 40.2 million ...
Health Law ArticlesCMS Clarifies HHA Definition of “Confined to Home” HIPAA Risk Assessments are Essential to Avoid Liability: Part I OIG Study Finds Nursing Facilities Ineffective in Reporting All Allegations of Patient Abuse or Neglect It’s “Official” – ICD-10 Implementation Begins October 1, 2015 Bundled Payments for Care Improvement Initiative (BPCI): CMS Adds Over 4,000 Additional Providers to its List of Eligible Organizations. Read More Posts From This Category
Dental Law ArticlesMedicaid Dental Fraud: Is the State of Texas Partly to Blame? Investigations of Medicaid Dental Fraud in Texas Medicaid Dental Fraud: New Hampshire Dentist Indicted on Nearly 200 Counts of Medicaid Fraud. Medicaid Dental Fraud: Dentist Alleged to Have “Systematically Bilked” the State in Dental Fraud Scheme. Medicare Dental Services: Take Care to Ensure that Your Hospital Outpatient Dental Services Meet Medicare’s VERY Limited Coverage Requirements Before Billing the Program. Read More Posts From This Category
Municipal Law ArticlesCMS Announces RAC Audit “Pause” and Additional RAC Program Reforms
The Centers for Medicare & Medicaid Services (CMS) recently announced that... [Read more of this review]Peddling and Soliciting, Municipal Regulations These Issues Can be Complex. Is Your City Clear on these Points?
(January 8, 2013): As a general rule cities can regulate hawking, canvassing,... [Read more of this review]City Contracts and Arbitration
It is recommended that cities do not agree to arbitration, either voluntarily or... [Read more of this review]Read More Posts From This Category
Business & Transaction ArticlesThe Dangers of Keeping Medical Records in the “Cloud”
(July 3, 2014): The growing trend of storing all kinds of data in the cloud comes... [Read more of this review]Liles Parker Attorney has Article Titled “Individual Liability in Medicare Overpayment Cases” Published in Law Journal.
Will the government seek to “pierce the corporate veil”? (October 16,... [Read more of this review]A Recent False Claims Act Case Being Brought Against an Individual Physician has Resulted in a Record Recovery for the Government.
(February 12, 2013): The civil False Claims Act is the primary civil enforcement... [Read more of this review]Read More Posts From This Category