Search Results for: revocation

christinThompson-associate-attorney-lilesparker

Christin Thompson, J.D., C.P.C., C.C.S., C.R.C., C.M.C.O., C.V.T., M.B.A., B.S.

Christin Thompson is an Associate at Liles Parker. Ms. Thompson focuses on healthcare compliance and reimbursement issues. Christin represents clients nationwide and practices out of the California office. Ms. Thompson has experience in assessing client records for documentation compliance in private payor and CMS audit preparation as well as identifying and improving documentation deficiencies. Christin […]

Christin Thompson, J.D., C.P.C., C.C.S., C.R.C., C.M.C.O., C.V.T., M.B.A., B.S. Read More »

2021 Webinar

Wednesday, November 3, 2021 1 p.m. EST / Noon CST / 10:00 a.m. PST Using PEPPER to Assist You in Analyzing Your Home Health Claims Practices For several years now, CMS has been moving from a broad Probe and Educate program to a more targeted one. The Program for Evaluating Payment Patterns Electronic Report (PEPPER)

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2019 TAHCH Webinar

Wednesday, November 6, 2019 The Importance of Incorporation and Asset Protection for Home Health and Hospice Agencies Unfortunately, sometimes even your best efforts are insufficient to keep an organization solvent. If your third-party billing company or your practice is forced into bankruptcy, can you be held liable? Are your personal assets at risk? What impact

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2020 TAHCH webinar

Wednesday, December 2nd, 2020 1 p.m. EST / Noon CST / 10:00 a.m. PST OIG Work Plan 2021 – Is Your Home Health, Hospice or Personal Care Agency in the Government’s Crosshairs? The Office of Inspector General’s “Work Plan” is its general audit and investigative plan for the upcoming year. The publication of OIG’s Work

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What is a Referral Under the Anti-Kickback Statute?

Medicare, Medicaid & Private Payor Updates, Regulatory Issues | Privacy | Other /

(January 26,  2021): Under the Anti-Kickback Statute (Anti-Kickback Statute), what constitutes a referral? Notably, neither the term referral nor the term referring (as it is referred to in the law) are defined in the statute. While you may be tempted to argue that a referral only occurs when one party refers a beneficiary to another party

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Chiropractor Owned Multidisciplinary Practices are at a Higher Risk of Audit

Medicare, Medicaid & Private Payor Updates /

(January 13, 2021):  Over the last few years, we have noted a significant increase in the number of audits initiated against Chiropractor owned multidisciplinary practices.  Typically, these integrated medical practices and clinics employ at least one Chiropractor (typically in an ownership or managerial capacity), along with multiple Doctors of Medicine (MDs), Doctors of Osteopathy (DOs).

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What is a Medicare Deactivation of Your Billing Privileges?

A Medicare participant’s billing privileges can be terminated or revoked for many reasons.[1] Unfortunately, if the Centers for Medicare and Medicaid Services (CMS) revokes the Medicare billing privileges of a participating provider or supplier, the revocation action may be in effect for up to 10 years. In comparison, if a provider’s Medicare billing privileges are

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ashley Morgan-seniorCounsel-lilesparker

Ashley Morgan, J.D., C.P.C., C.M.R.S., C.M.C.O., B.S.

Ashley Morgan is a partner at Lliles Parker. Ms. Morgan 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

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OIG Exclusion Actions — Mandatory and Permissive Exclusion Authorities

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The most severe administrative sanctions available under the Social Security Act stems from the authority of the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS)[1] to “exclude” individuals and entities from participating in Federal health care programs. Indeed, an OIG Exclusion[2] imposed by the OIG is essentially the

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