Health Care

Liles Parker attorneys have the litigation experience, health care regulatory knowledge, and counseling skills necessary to efficiently resolve health care issues at the lowest possible level, before they escalate into a more significant problem. Our attorneys regularly represent  physicians, practice groups, clinics, home health agencies, nursing homes, assisted living facilities, intermediate care facilities, durable medical equipment suppliers, third-party billing companies, practice management groups and other health care providers in connection with Federal, State and /or private payor audits, compliance issues and health care transactional needs 

A number of our attorneys have held significant positions in the U.S. Department of Justice (including serving as the first National Health Care Fraud Coordinator for the Executive Office for U.S. Attorneys) and as attorneys at the Health Care Financing Administration (HCFA), now known the Centers for Medicare and Medicais Services.  Additionally, other attorneys in the Firm have worked as State prosecutors and / or public defenders. 

Areas of Focus in Health Care Include:

Litigation Matters

• Representing providers nationwide in ZPIC, PSC and RAC audits and appeals.
• Providers include, but are not limited to:
• Physicians and Practice Groups
• Hospitals
• Home Health Agencies
• Hospices
• DME Companies
• Ambulance Companies
• Physical, Speech and Occupational Therapy
• Skilled Nursing Facilities
• Administrative Appeal levels include:
  • Initial records requests
  • Rebuttal
  • Redetermination
  • Reconsideration
  • Administrative Law Judge hearings
  • Medicare Appeals Council
  • Federal District Court
• Visit zpicaudit.com and racaudit.pro for additional information.
• Challenging statistical extrapolations of damages.
• Representing providers in connection with Grand Jury subpoenas and investigations.
• Responding to HHS-OIG, DOJ and law enforcement subpoenas and investigations on behalf of health care providers.
• False Claims Act – Qui Tam litigation. Visit falseclaimsact.pro for additional information.
• Representing providers in Corporate Integrity Agreements with HHS-OIG.
• Handling Stark self-referral questions and issues.
• Representing health care providers in connection with Anti-Kickback Statute allegations and cases.

Regulatory & Transactional Matters

• Medicare conditions of participation, billing, and payment.
• Reimbursement issues.
• State licensure issues.
• Accreditation and certification.
• HIPAA privacy — confidentiality of medical records.
• Fee-splitting issues.