Liles Parker PLLC
(202) 298-8750(800) 475-1906
Washington, DC | Houston, TX
San Antonio, TX | Baton Rouge, LA

We Defend Healthcare Providers Nationwide in Audits & Investigations

Medicare, Medicaid & Private Payor Updates

EKRA: Laboratories, Treatment Homes and Clinical Treatment Centers Now Face Increased Enforcement and Penalties for Kickback Tainted Claims that are Reimbursed by Private Payors.

(December 3, 2018): On October 24th, 2018, President Trump signed into law... 

Home Health Providers Under the Microscope — The Review Choice Demonstration Project is Here

(October 4, 2018):  Last week, the Centers for Medicare & Medicaid Services... 

Transcranial Magnetic Stimulation Claims Audits by Medicare MACs and UPICs are Underway. Are Your CPT 90868 Claims Compliant?

(July 16, 2018):  Do you provide Transcranial Magnetic Stimulation care... 

Is Your Urogynecology, OB/GYN or Multidisciplinary Practice Prepared for a Medicare Biofeedback Claims Audit or a Pelvic Floor Therapy Claims Audit?

(July 12, 2018):  While no medical specialty has completely avoided the scrutiny... 

CMS has Confirmed the Coverage of Personal Care Services by Medicare Advantage Plans Starting 2019.

(June 26, 2018):  The coverage of personal care services by Medicare has... 

An Overview of Administrative Rheumatology Audits / Adverse Actions AND Civil / Criminal Enforcement Actions

(May 20, 2018):  It’s been a rough week for at least one Texas rheumatologist. ... 

Expect an Increase in Audits of Chiropractic Services!

(April 16, 2018): Chiropractors around the country are again finding their... 

CBRs for Spinal Orthoses (CBR201803): What Do You Need to Know?

(April 12, 2018): The Centers for Medicare & Medicaid Services (CMS) utilizes... 

ZPIC Audits / UPIC Audits: The Impact of Transmittal 768 on the Medicare Appeals Process Timeline.

(April 12, 2018): A big concern with the Medicare appeals process is the ghastly... 

Medicare Advantage Plans May Soon Offer Personal Care Services

(April 10, 2018):  On April 2, the Centers for Medicare and Medicaid Services... 

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Dental Audits & Compliance

UPIC Dental Audits (Such as Qlarant Dental Audits) Have Been Initiated. Is Your Practice Ready for its Medicare Dental Claims or Medicaid Dental Claims to be Audited?

(July 3, 2018):  While a number of Medicare Advantage Plans now offer supplemental... 

Dental Claims Audits are on the Rise

Both Medicaid and private payor dental claims audits are increasing around... 

Dental Fraud: Dentist Faces 3,974 Years in Prison if Convicted!

(November 30, 2017):  Earlier this year, Attorney General Jeff Sessions announced... 

Medicaid Dental Audits of IV Sedation Services

(June 16, 2017):  Under the Social Security Act, states are required to operate... 

Delta Dental Audits are Ongoing Around the Country. Are You Prepared?

(May 15, 2017):  Over the last decade, both state and federal law enforcement... 

Medicaid Dentist Eligibility Audits are Ongoing Around the Country

(January 9, 2017):  A recent report of the New York State agency that administers... 

Dental Practice Audits are on the Rise — Protect your Interests!

(October 11, 2016): More than 45 million children receive government-funded... 

More Texas Medicaid Dental Audits Are Coming in 2017!

(August 23, 2016): During 2014, the Texas Health Human Services Commission’s... 

Exclusion Screening / OIG Screening and Background Checks in Dental Practices

(March 31, 2016):  Many of the dental practices around the country do not... 

OIG Finds Significant Medicare Dental Overpayments Made to Hospitals

(October 27, 2015): Late this summer, the Office of Inspector General for the U.S.... 

Dental Claims False Claims Act Liability

(March 6, 2015): As we have seen in recent years, Medicaid audits resulting... 

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Home Health & Hospice

Is Your Urogynecology, OB/GYN or Multidisciplinary Practice Prepared for a Medicare Biofeedback Claims Audit or a Pelvic Floor Therapy Claims Audit?

(July 12, 2018):  While no medical specialty has completely avoided the scrutiny... [Read more of this review]

Seven Elements of a Payable Claim are an Essential Tool When Preparing for a ZPIC Audit

(September 21, 2012):  Each year, our attorneys and paralegals review and... [Read more of this review]

AdQIC: A Brief Refresher on the Role This Contractor Plays.

(June 15, 2012): If you have ever been involved in a Medicare postpayment... [Read more of this review]

100 Involved in Health Care Fraud Arrests

Update (May 3): In total, 107 individuals were charged yesterday in connection... [Read more of this review]

Lose Your Appeal at Reconsideration? Consider an ALJ Hearing

(June 18, 2011): As a review of the last several quarters of Medicare appeals... [Read more of this review]

The Medicare Administrative Appeal Process

(March 25, 2011): Zone Program Integrity Contractors (ZPICs) have established... [Read more of this review]

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Regulatory Issues | Privacy

Is ePHI Encryption Required? The Failure to Properly Protect ePHI Can be Quite Costly.

(June 27, 2018):  Violations of the Health Insurance Portability and Accountability... [Read more of this review]

Sexual Harassment: Cases Against Texas Physicians in 2017

(January 26, 2018): From Churches to Congress, sexual harassment and assault... [Read more of this review]

Maryland Limits on Opioid Prescriptions

(June 30, 2017):  In March 2016, the Centers for Disease Control and Prevention... [Read more of this review]

Cell Tower Ground Lease Renewals and Purchases

(September 15, 2015): A landowner/ground lessor considering a renewal or easement... [Read more of this review]

OIG Proposes New Anti-Kickback Law Safe Harbors

(November 10, 2014): The U.S. Department of Health and Human Services Office... [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]

What is Civil Fraud?

(Updated June 18, 2018):  According to the Association of Certified Fraud... [Read more of this review]

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