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

We Defend Healthcare Providers Nationwide in Audits & Investigations.

Ashley Morgan, J.D.


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Ashley Morgan, Senior Health Law Counsel
Office: (202) 298-8750
amorgan@lilesparker.com

Practice Concentration and Experience:

Ashley Morgan is a Senior Health Care Counsel at our law firm.  She focuses her practice on regulatory health care compliance matters, fraud and abuse, and reimbursement issues.  Ms. Morgan 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.  She 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.

Ms. Morgan is one of only a small percentage of health lawyers who has also trained and passed the certification examination requirements to become designated as a “Certified Professional Coder.”  On the billing side, she has also obtained her certification as a “Certified Medical Reimbursement Specialist.”  These skill sets have been invaluable when conducting GAP Analyses of a provider’s medical record documentation in order to determine whether the claims meet applicable Medicare, Medicare or private payor coverage and payment requirements. Ms. Morgan 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) program integrity contractors — primarily Unified Program Integrity Contractors (UPICs).  She also represents health care providers and suppliers in connection with Comprehensive Error Rate Testing (CERT) audits, Supplemental Medical Review Contractor (SMRC) reviews and Medicare Administrative Contractor (MAC) “Targeted Probe and Educate” (TPE) reviews.  Finally, Ms. Morgan has extensive experience representing our health care clients in connection with private payor audits and investigations by private payor SIUs.

In addition to her considerable experience handling government and private payor claims audits, Ms. Morgan also has successfully defended numerous licensed providers in connection with complaints and disciplinary proceedings brought against our clients by State Medical Boards, State Nursing Boards and other State Licensing Authorities.

In addition to her other certifications, Ashley Morgan is also 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 both remote and onsite reviews to review regulatory, OSHA and HIPAA compliance audits.

Education:

  • American University Washington College of Law, J.D., cum laude, Top 15%.
  • (Served as the Senior Symposia Editor for the Administrative Law Review).
  • James Madison University, B.S.

Professional Affiliations:

  • Certified Professional Coder (CPC).
  • Certified Medical Compliance Officer (CMCO).
  • Certified Medical Reimbursement Specialist (CMRS).
  • Certified E&M Auditor (CEMA).

Federal Admissions:

  • Eastern District of Virginia
  • District of Columbia District Court

State Bar Admissions:

  • Virginia
  • District of Columbia

Presentations and Speaking Engagements:

  • National Webinar Series, Texas Association for Home Care and Hospice, “Preventing the Revocation of Your Texas Home Health or Hospice Agency from the Medicare Program – Tips on Avoiding an Adverse Action and on Responding to Such an Event” (2019).
  • National Webinar Series, Texas Association for Home Care and Hospice, “The Current Enforcement Environment Facing Texas Home Health, Hospice and Personal Care Agency Owners, Staff and Affiliated Professionals” (2019).
  • National Webinar Series, American Medical Billing Association,Private Payor Risks, Contractual Obligations and Collection Headaches (2019).
  • National Webinar Series, American Medical Billing Association, “Mobile Device Security, Ransomware and Cloud Threats in Billing Workplaces — Risks and Challenges.” (2019).
  • National Webinar Series, Texas Association for Home Care and Hospice, “Texas Home Health Providers Remain Under the Statutory Microscope.  The Impact of the “Review Demonstration Project” on Your Agency” (2019).
  • National Webinar Series, National Alliance of Medical Auditing Specialists, “Practical Considerations for Implementing a Compliance Program” (2019).
  • AMBA 18th Annual National Medical Billing Conference, American Medical Billing Association, Las Vegas, NV, “Negligent Credentialing” (2018).
  • AMBA 18th Annual National Medical Billing Conference, American Medical Billing Association, Las Vegas, NV, “Medicare Revocations and Terminations” (2018).
  • Healthcare Revenue Cycle Conference, Healthcare Business Management Association, Charlotte, NC, “Healthcare Communication Risks”(2018).
  • AHCC Home Health Compliance & Quality Outcomes Conference, DecisionHealth, Dallas, TX, “Emergency Preparedness and Workplace Violence: Ensure Your Agency is Ready to Respond” (2018).
  • National Webinar Series, Exclusion Screening, “Cybersecurity Issues for Your Healthcare Organization” (2018).
  • National Webinar Series, Texas Association for Home Care and Hospice, “Cybersecurity Issues for Home Health Providers” (2018).
  • Ambulatory Surgery Center Association Annual Conference, Ambulatory Surgery Center Association, Boston, MA. “ASC Risk Areas Under the False Claims Act” (2018).
  • PaRADigm Conference, Radiology Business Management Association, San Diego, CA “Evaluating Your Compliance Program for Best Practices” (2018).
  • Annual Meeting, Maryland-National Capital Homecare Association, Baltimore, MD, “Medicare and Medicaid Audits: How do I Handle Them?” (2017).
  • AMBA 17th Annual National Medical Billing Conference, American Medical Billing Association, Las Vegas, NV, “Avoid OIG Fines and Penalties on Exclusion Screening Compliance” (2017).
  • National Webinar Series, American Medical Billing Association, “ADRs, Pre and Post-payment Reviews and Suspension and the Impact on Physician Practices” (2017).
  • National Webinar Series, Exclusion Screening, “Practical Considerations for Implementing a Compliance Program” (2017).
  • National Webinar Series, American Medical Billing Association, “Medicare Termination and Revocation Prevention, Avoiding and Appealing Adverse Actions” (2017).
  • National Webinar Series, American Medical Billing Association, “Balance Billing and Billing Out of Network” (2017).
  • National Webinar Series, Texas Association for Home Care and Hospice, ADRs, Pre-Payment Reviews, Post-Payment Audits and Suspensions – The Impact of these Administrative Enforcement Tools on Home Health and Hospice Agencies (2017).
  • National Webinar Series, Texas Association for Home Care and Hospice, The FY 2017 OIG Work Plan: What Should You Expect? (2016).
  • National Webinar Series, Texas Association for Home Care and Hospice, “The False Claims Act and its Impact on Home Health and Hospice Agencies” (2016).
  • So What! Who Cares? Podcast, Curaport, “Exclusion Screening: Protect Your Patients, Protect Your Practice” (2016).
  • Aurora Illinois American Academy of Professional Coders Chapter, Exclusion Screening, “OIG Exclusion Screening” (2016).
  • National Webinar Series, American Medical Billing Association, “Employer Scrutiny and Screening for Current and New Employees and Providers” (2016).
  • National Webinar Series, Exclusion Screening, “Can I Do My Own Exclusion Screening” (2015).
  • National Webinar Series, Exclusion Screening, “A Critical Component of an Effective Compliance Program: Exclusion Screening” (2015).