Search Results for: Special Investigations Unit

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. Last Monday, the U.S. Attorney’s Office for the Southern District of Texas announced the indictment of a South Texas rheumatologist for multiple counts of health care fraud and one count of conspiracy to commit money laundering. The magnitude of the alleged […]

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Sexual Harassment: Cases Against Texas Physicians in 2017

(January 26, 2018): From Churches to Congress, sexual harassment and assault charges have plagued many of the institutions that our society holds dear. As revelations of sexual misconduct continue to surface, we continue to learn of the many abuses of those in powerful positions; those whom we once revered. The rise of the #MeToo Movement

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Personal Care Services Are Under the Government’s Microscope

(January 22, 2018): The Department of Health and Human Services, Office of Inspector General (HHS-OIG) has conducted numerous audits, evaluations, and investigations involving the provision of “personal care services” to Medicaid beneficiaries.  In fact, from 2006 to 2012, HHS-OIG produced more than 20 audit and evaluation reports analyzing various program integrity risks presented when providing

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Revocation of Your Medicare Billing Privileges

(December 14, 2017): The Centers for Medicare and Medicaid Services (CMS) has engaged various types of outside contracting entities to perform program integrity functions on behalf of the Medicare program. At the present time, Uniform Program Integrity Contractors (UPICs) and Zone Program Integrity Contractors (ZPICs) are very aggressive when it comes to referring evidence of

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Client Testimonials

Mr. Liles is an amazing and very knowledgeable attorney. I appreciated his expertise on how to proceed with a case. Even though I was not able to retain him he provided me with solid advice. I appreciated his time and I will highly recommended him. Theresa Cotten January, 2024 Positive: Professionalism, Quality, Responsiveness All of

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Pain Management Prescribing Practices and Audits.

(August 16, 2017): Earlier this summer, the U.S. Department of Justice (DOJ) executed its most extensive “health care fraud takedown” to date, initially arresting 412 licensed healthcare providers, doctors, and nurses alleged to have engaged in fraudulent conduct (additional arrests were made in the days following the takedown).  As Attorney General Jeff Sessions stated at

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Liles Park – Nationwide Health Care Lawyers

We Defend Healthcare Providers Nationwide in Audits & Investigations. Liles Parker PLLC is a health care regulatory firm representing health care providers and suppliers around the country in complex business transactions, administrative, civil and criminal litigation. Founded by a former Federal prosecutor and the former General Counsel of a Fortune 500 company, Liles Parker has

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NBI MEDIC Referrals to Boards, OIG and DOJ are Here!

(June 28, 2017): The Medicare program is enormous. As of 2016, more than 56 million individuals participated in the program, with more than 10,000 additional individuals enrolling in the program each day. The Centers for Medicare and Medicaid Services (CMS) is the agency responsible for managing this costly program. To direct this $640 billion program,

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