Search Results for: Special Investigations Unit

When Did You Last Review Your Private Payor Contracts? You Need to Analyze Before You Sign!

(August 14, 2013): In today’s reimbursement environment, solo physicians and physician practice groups are witnessing a steady decline in reimbursement rates. Unfortunately, their overhead costs and obligations due to the imposition of Electronic Medical Records, HIPAA Privacy, OSHA and a litany of other regulatory requirements are making more and more difficult to remain profitable each […]

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The Texas Medical Board Remains Busy Due to High Number of Complaints Filed in 2012

(February 7, 2013): The Texas Medical Board (Medical Board) was quite busy in 2012. While the number of disciplinary action taken had dropped in some categories, it rose in others. In fact, the overall number of complaints filed with the Medical Board was the 2nd highest in the last decade. The Medical Board’s workload numbers

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The Latest OIG Report on E/M Coding Finds that Coding Practices are Trending Higher

(June 15, 2012): Evaluation and Management (E/M) coding has been the subject of substantial scrutiny in Medicare post-payment audits and appeals for many years. When a reviewer for the Center for Medicare & Medicaid Services (CMS) audits an E/M claim, the reviewer often appears to utilize the AMA CPT Code Book to assess the proper

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Ismail (Ish) Laher

An Attorney Ismail Laher focuses on simplifying complex civil and regulatory matters for individuals and businesses alike. He also serves in the role of outside General Counsel on an as needed basis. Mr. Laher is a graduate of Harvard Business School and Georgetown Law. He was previously associated with the Jones Day law firm in

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NCI-Owned AdvanceMed Will Remain the ZPIC Responsible for Zones 2 and 5.

(April 10, 2011): Last week, it was announced that NCI, Inc., one of the nation’s most successful information technology companies had acquired the outstanding capital stock of AdvanceMed Corporation (AdvanceMed), an affiliate of CSC. While the acquisition went largely unnoticed by the health care provider community, the transaction may, in fact, be quite significant. With

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Top Ten Health Care Compliance Risks for 2011

(December 31, 2010): In case you missed it, Congress, President Obama and the healthcare regulators had a banner year with respect to regulatory activism in 2010. Over the next several weeks we will be releasing a series of articles on our website addressing the compliance risk areas facing your organise dramatic changes and the compliance

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DOJ is Using Medicare Billing Data to Target Health Care Providers

(August 31, 2010): Last week, department heads of the U.S. Department of Justice (DOJ) and the Department of Health and Human Services (HHS), met in Los Angeles, CA and conducted the second of a planned series of “Regional Health Care Fraud Prevention Summits.” Following-up on a similar conference held in Miami, DOJ Attorney General Eric

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Michael Cook

Michael Cook has more than 35 years of experience representing a wide variety of health care related clients in regulatory, compliance, coverage, reimbursement, policy, strategic planning, government relations, and business matters. This experience includes managing the health care practices in the Washington, DC offices of several large national law firms. Additionally, Michael began his career

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About Us

Liles Parker is a DC-based Law Firm Primarily Representing Health Care Providers and Suppliers Nationwide in Medicare, Medicaid and Private Payor Audits, Investigations & Revocation Actions. Our team includes attorneys who are former Federal Prosecutors, Certified Billers, Coders, and Compliance Officers. (Health Care Providers  – Please sign up or call us (202-298-8750) for a Free

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