Ashley Morgan, J.D.

ashley Morgan-seniorCounsel-lilesparker

Partner

Office: (202) 298-8750
Fax: (210) 745-4645
Direct: (202) 750-4420
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Practice Concentration and Experience:

Ashley Morgan is a Partner at Liles Parker. 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, pain management practices, 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. Ms. Morgan also has extensive experience representing providers in connection with state and federal fraud investigations.

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:

  • Virginia Bar Association
  • District of Columbia Bar
  • American Academy of Professional Coders
  • American Medical Billing Association
  • Practice Management Institute

Federal Court Admissions:

  • Admitted to Practice in the Eastern District of Virginia
  • Admitted to Practice in the District of Columbia District court

Licensure and Certification:

  • Licensed to Practice Law in Virginia
  • Licensed to Practice Law in the District of Columbia
  • Certified Professional Coder (CPC).
  • Certified Medical Compliance Officer (CMCO).
  • Certified Medical Reimbursement Specialist (CMRS).

Presentations and Speaking Engagements:

2021

  • National Webinar Series, American Medical Billing Association, "Preventing Revocation of Your Billing Privileges with the Medicare Program - Tips on Avoiding an Adverse Action and on Responding to Such an Event” (2021).
  • National Webinar Series, American Medical Billing Association, “Discounts and Waivers – When are they Permissible? When are They Likely Illegal?” (2021).
  • National Webinar Series, Texas Association for Home Care and Hospice, “Preventing the Revocation of Your Home Health or Hospice Agency from the Medicare Program – Tips on Avoiding an Adverse action and on Responding to Such an Event” (2021).
  • National Webinar Series, Texas Association for Home Care and Hospice, “Medicare Telehealth and Telecommunications Technology in Home Health and Hospice” (2021).

2020

  • Practice Management Institute Health Administration Alliance Evaluation and Management Conference (Virtual), “Nitty Gritty of Medical Decision Making Panel” (2020).
  • National Webinar Series, Texas Association for Home Care and Hospice, "Problems and Pitfalls With Home Health and Hospice EHR Systems -- Address These Software Deficiencies Now, Before it is Too Late!” (2020).
  • National Webinar Series, American Medical Billing Association, “Medicare Provider Enrollment Changes – 100 New Ways to Lose your Billing Privileges” (2020).
  • National Webinar Series, Exclusion Screening, “CMS & OIG Response to the Coronavirus Public Health Emergency: Waivers for Telehealth, Provider Enrollment, Medicaid & More!” (2020).
  • National Webinar Series, Texas Association for Home Care and Hospice, “An Overview of the CMS Preclusion List.” (2020).
  • National Webinar Series, Texas Association for Home Care and Hospice, “Update on the Review Claim Demonstration Project – Recommendations for Texas Home Health Providers” (2020).

2019

  • AMBA 19th Annual National Medical Billing Conference, American Medical Billing Association, Las Vegas, NV, “Medicare 3 Strikes Rule” (2019).
  • 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).

2018

  • 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).

2017

  • 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).

2016

  • 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).

2015

  • 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).