David Parker

David Parker is an experienced corporate and healthcare attorney. He served for many years as general counsel to an NYSE-traded mezzanine financing firm and is skilled in debt transfers, subordinated debt issues, preferred and common stock issues and other corporate finance and governance concerns.

Structural Denial of Due Process in HCQIA Peer Review Proceedings

(October 12, 2015): The Federal HCQIA peer review statute affords peer-reviewing bodies and their members legal immunity from liability from suits by the physicians they discipline, so long as their peer-review processes include certain due process rights for the accused physician. These due process rights are expressed as a right to a hearing, and are …

Structural Denial of Due Process in HCQIA Peer Review Proceedings Read More »

Individual Liability for Medicare Overpayment Claims

(February 24, 2015): Medicare recently finalized regulations allowing enrollment as a Medicare provider to be denied if any owner or control person of the enrolling provider is affiliated with another provider which owes money to Medicare. These regulations are based on sections of the 2010 Affordable Care Act (ACA). They provide CMS an indirect means to …

Individual Liability for Medicare Overpayment Claims Read More »

Peer Review: How HCQIA Due Process is a Fiction

(August 31, 2014): The Healthcare Quality Improvement Act of 1986[1] (“HCQIA”, generally pronounced “Hick Kwah”), affords peer-reviewing bodies and their members legal immunity from liability from suits by the physicians they discipline, so long as their peer-review processes include certain due process rights for the accused physician. Unfortunately, the provider peer review process is irrevocably …

Peer Review: How HCQIA Due Process is a Fiction Read More »

Medicare ALJ Appeals of Denied Home Health Claims

(February 11, 2014):  Has a Zone Program Integrity Contractor (ZPIC) denied your home health claims?  If you believe that these denials are unwarranted, your home health agency (HHA) may challenge the denials through Medicare’s administrative appeals process.  Medicare’s appeals process provides five levels of appeal. The first four levels of appeal are before different administrative …

Medicare ALJ Appeals of Denied Home Health Claims Read More »

Individual Liability for Medicare Overpayment Claims

(October 19, 2012): This article addresses the case where an individual or “natural person” owns an interest in a Medicare health care provider which is incorporated[1] under the laws of a state, as a corporation, limited liability company, limited partnership, or  another type of legal person. The individual may be a shareholder, member, limited partner, or …

Individual Liability for Medicare Overpayment Claims Read More »

Medicare Audits in Miami, FL

(August 28, 2012): In this  feature, we focus on particular Medicare audits and appeals information for various ZPIC audit and RAC audit hotspots around the country. Check back in for information about Medicare audits and appeals in your city. Medicare Audits in Miami, FL: At-a-Glance Information: Miami Population: 408,750 (2011 Census) Medicare Administrative Contractor (MAC) …

Medicare Audits in Miami, FL Read More »

Guide to Efficient Business Transactions: Part III

(July 6, 2012):  This article is a continuation of our discussion on how a business person can manage attorneys and other professionals in the legal process of his business transactions, to minimize the costs and risks.  A link to Part II is provided:  Click here for Part II.     I.  Efficient Business Transactions, Continued: (k)  …

Guide to Efficient Business Transactions: Part III Read More »

Guide to Efficient Business Transactions: Part II

(June 24, 2012): How a business person can manage attorneys and other professionals in the legal process of his business transactions, to minimize cost and risk and maximize efficiency – Part II of III.  Click here for Part I. Check back soon for the third installments. I. Precepts and Procedures. (a) Choose an Attorney With Whom …

Guide to Efficient Business Transactions: Part II Read More »

Guide to Efficient Business Transactions: Part I

(June 18, 2012):  How a business person can manage attorneys and other professionals in the legal process of his business transactions, to minimize cost and risk and maximize efficiency? Let’s look at a few these issues below. I. Goal of this Guide; Goals of Your Business Transactions. This Guide is written for those handling important …

Guide to Efficient Business Transactions: Part I Read More »

PMI’s Certified Medical Compliance Officer Program

(January 26, 2011):    Robert W. Liles, J.D. Managing Partner at Liles Parker, has been asked by Practice Management Institute (PMI) to develop and present its new “Certified Medical Compliance Officer” (CMCO) program.  This Compliance Officer Certification course will be held over a five day period — February 3-4 and March 2-4, 2011. I.  What is the …

PMI’s Certified Medical Compliance Officer Program Read More »