"Nationwide Healthcare Lawyers"
Lester “Les” W. Johnson, Jr. is a Partner at Liles Parker PLLC and is the Supervising Attorney for the Firm’s Baton Rouge office. In addition, Mr. Johnson also serves as Co-Leader of the Firm’s Health Law Practice Group. Mr. Johnson helps clients navigate the myriad of regulatory, compliance and business issues facing today’s health care providers […]
Lester (Les) W. Johnson, J.D., L.L.M., B.B.A. Read More »
(August 14, 2011): Home health agencies in Texas and Oklahoma remain under considerable scrutiny by Medicare contractors tasked with identifying fraud and abuse perpetrated against the Medicare Trust Fund. As discussed below, these Medicare contractors have a number of tools at their disposal, many of which can effectively place a home health agency in financial
Health Integrity Audits of Texas and Oklahoma Home Health Agencies are on the Rise. Read More »
(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
NCI-Owned AdvanceMed Will Remain the ZPIC Responsible for Zones 2 and 5. Read More »
(April 6, 2011): On September 15, 2010, the Inspector General of the Department of Health and Human Services (HHS-OIG), Daniel Levinson, testified before the House Committee on Energy and Commerce, Subcommittee on Health regarding waste, fraud, and abuse in the Medicare program, with a specific focus on durable medical equipment and supplies. Mr. Levinson noted
ZPIC Audits are Here. When it Rains, it Pours . . . DME Compliance is Essential! Read More »
(March 12, 2011): Health care providers around the country are finding their practices and clinics subjected to Medicare post-payment audits by Zone Program Integrity Contractors (ZPICs), Program Safeguard Contractors (PSCs) and Comprehensive Error Rate Testing (CERT) Contractors. While all post-payment audits should be taken seriously, there are real differences between both the contractors and the
CERT Postpayment Audits: An Overview of the Audit Process Read More »
(October 5, 2010): Existing home health agencies are considered to be a Moderate Risk for screening purposes. Late last month, the Centers for Medicare & Medicaid Services (CMS) published a Proposed Rule entitled “Medicare, Medicaid, and Children’s Health Insurance Programs; Additional Screening Requirements, Application Fees, Temporary Enrollment Moratoria, Payment Suspensions and Compliance.” As set out
Existing Home Health Agencies Considered a Moderate Risk Read More »
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
Michael Cook, J.D., B.A. Read More »
An effective Compliance Program is a living, breathing document. In order to be effective, it must become an integral part of your organization. It cannot simply lay dormant until an auditor shows up or a violation occurs. Rather, through the active application of the plan’s policies and procedures on a daily basis, active compliance can be achieved.
Compliance Program Development and Implementation Read More »
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