UPIC Audits, ZPIC Audits, Medicaid Audits, Private Payor Audits, Medicare Suspensions, Revocations Actions, State Licensure Board Actions
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Ashley Morgan


Ashley-OptimizedAssociate Attorney
Office: (202) 298-8750
amorgan@lilesparker.com

 

 

 

Practice Concentration and Experience:

Ashley Morgan is an Associate Attorney in Liles Parker’s Washington, DC office where she focuses her practice on regulatory health care compliance matters, fraud and abuse, and reimbursement issues. Ashley represents health care providers across the country in connection with a wide variety of health law issues including coverage disputes, documentation concerns, compliance, medical board complaints, and exclusion / termination issues.  Ashley has worked with an assortment of providers including dentists, home health companies, hospice agencies, primary care and specialty physicians, mental health professionals, physical therapists, and licensed acupuncturists.

Ashley has handled claims disputes with major payors including Medicare, Medicaid, various BlueCross BlueShield entities, and UnitedHealthcare.  She has extensive experience working on administrative appeals of large alleged extrapolated overpayments assessed by the Centers for Medicare and Medicaid Services’ (CMS) contractors including, Zone Program Integrity Contractors (ZPICs), Unified Program Integrity Contractors (UPICs), and Medicare Administrative Contractors (MACs) and by private payors. Ashley has also successfully defended providers against medical board and nursing board complaints.

Ashley is a Certified Medical Compliance Officer and helps clients implement effective compliance programs and provides counsel on mandatory state and industry-specific policies and procedures. In this capacity, Ashley provides on-site walk-throughs to review OSHA compliance and performs training for staff members on HIPAA and other mandatory compliance regulations. Ashley is also a Certified Medical Reimbursement Specialist and conducts GAP Analyses of provider’s medical record documentation to determine areas for improvement with any CMS or private payor documentation requirements.

Ashley earned her Juris Doctor, cum laude, from the American University Washington College of Law in Washington, DC.  While in law school, Ashley served as the Senior Symposia Editor for the Administrative Law Review. Ashley received a Bachelor of Science from James Madison University in Harrisonburg, Virginia.

 

Education:

  • American University Washington College of Law, J.D., cum laude, Top 15%, 2015
  • James Madison University, B.S., 2010

Professional Affiliations:

  • Virginia Bar Association
  • Certified Medical Compliance Officer
  • Certified Medical Reimbursement Specialist

Bar Admissions:

  • Virginia
  • District of Columbia