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HBMA Journal Includes Cloud Computing Article by Liles Parker Attorney in its Latest Edition

December 4, 2012 by  
Filed under Firm News

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(December 4, 2012):  This month, the Healthcare Billing & Management Association’s (HBMA) Journal, Billing, features an HBMA Journal article written by Robert W. Liles, Managing Partner at the firm. Entitled “Be Careful Before Moving to Cloud Computing: A Contrarian View of the Inevitable,” the article tackles many of the current risks associated with the use of cloud computing and cloud service providers (CSPs). The article describes the different types of clouds available, some of the cost-saving benefits of using CSPs, and the myriad concerns associated with its use. Touching on providers’ obligations to protect and secure protected health information (PHI), the article covers several important points that all health care practitioners should understand when determining whether and how to adopt this technology. It also provides an interesting discussion on the government’s current reticence to allow federal agencies to use the services of a CSP.

As this article shows, cloud computing isn’t necessarily the panacea it is portrayed to be by its many supporters.  Even when handled with care, cloud computing exposes a provider to an unprecedented new level of risk — one in which no amount of planning or due diligence can fully reduce the potential for a breach if a CSP either employs a rogue staffer, goes out of business or moves its operations beyond the reach of American law enforcement.

At the end of the day, health care providers are left with a simple question to decide:

“Are the real and measurable benefits of convenience and cost-savings achieved through the use of cloud computing worth the additional, difficult to measure and largely uncontrollable risks that are likely to be inherent in any cloud computing business arrangement?” 

Robert has written extensively on cloud computing and other health care compliance issues. Learn more about cloud computing here.

Robert LilesHealthcare Lawyer counsels providers on HIPAA compliance risks, HIPAA breach notification issues and the development and implementation of effective Compliance Plans.  In addition, Robert performs gap analyses and internal reviews, trains healthcare professionals on compliance issues, and represents providers in Medicaid and Medicare audits and appeals. For a free consultation, call Robert today at 1-800-475-1906.

PMI’s Certified Medical Compliance Officer Program

January 27, 2011 by  
Filed under Firm News

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Certified Medical Compliance(January 26, 2011):    Robert W. Liles, J.D. Managing Partner at Liles Parker, has been asked by Practice Management Institute (PMI) to develop and present its new “Certified Medical Compliance Officer” (CMCO) program.  This Compliance Officer Certification course will be held over a five day period — February 3-4 and March 2-4, 2011.

I.  What is the Focus of PMI’s “Certified Medical Compliance Officer” Program?

This Certification course is uniquely designed to address the needs of non-hospital health care providers.  It is specifically for current and soon-to-be Compliance Officers working in Physician Practices, Home Health Agencies, Hospice Companies, Durable Medical Equipment Companies, Physical Therapy Clinics, Third-Party Billing Companies and other small to mid-sized health care provider entities.  Unlike other Certification courses, this program has been developed to meet your organization’s compliance needs, not those of a hospital or large provider institution.   The Compliance Officer Certification course and exam will take place in Dallas at the Texas Health Presbyterian Hospital Dallas.

II.  Instructors of PMI’s Certified Medical Compliance Officer Program:

The primary speakers during the first two days will be Mr. Liles and D.K. Everitt.  Please join Mr. Liles and Mr. Everitt in Dallas as they present the course.  Mr. Liles represents health care providers across the nation. He focuses his practice on healthcare compliance, large Medicare overpayment defense and regulatory matters.  Before entering private practice, he served as Deputy Director for Legal Programs at the U.S. Department of Justice, Executive Office for United States Attorneys (EOUSA).  Additionally, while at EOUSA, he also served as the country’s first National Health Care Fraud Coordinator, responsible for working with the civil and criminal health care fraud coordinators in each of the U.S. Attorney’s Offices around the country.

Mr. Everitt is a nationally-recognized Healthcare Compliance Officer, whose work includes assessing hundreds of medical practices and facilities, implementing Corporate Integrity Agreements and OSHA compliance training.  He has authored several compliance books and is credited with the definitive guide on OHSA for medical practices.  Mr. Eveirtt serves as president of The Compliance Division, L.L.C.  He has spent the last 25 years developing and managing corporate compliance programs and shares his talents as an Adjunct Lecturer and Preceptor for Trinity University’s Health Care Administration Graduate Studies department. He has shared his knowledge with participants at several of PMI’s conferences. Mr. Everitt also serves on PMI’s Contributing Editor Board of Experts.

To enroll in this class, or if you have any questions, call PMI at 1-800-259-5562 between the hours of 8 a.m. and 5 p.m., Monday through Friday. Seating is limited and will be provided on a first come first served basis.

Robert Liles Healthcare AttorneyRobert W. Liles, J.D., M.B.A., M.S., represents health care providers around the country in connection with Medicare, Medicaid and private payor audits.  He also provides regulatory compliance guidance and advice to providers and suppliers that participate in federal and state health benefits programs. For a free consultation, call:  1 (800) 475-1906.

Robert W. Liles Participates in Meeting with Congressman Culberson and Health Care Association Representatives in Houston

April 8, 2010 by  
Filed under Firm News

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(April 8, 2010): On Wednesday evening, April 7, Robert W. Liles, Managing Member of the Firm, met with Congressman John Culberson and a group of  state and local medical association executives to discuss the recent passage of the health care reform bill.  Congressman Culberson heard from the participants, noting their views of how this legislation is going to impact Texas physicians and hospitals.  Mr. Liles discussed several provisions of the bill aimed at increasing health care fraud enforcement efforts.   He also discussed the current ZPIC audits being conducted in Texas by Health Integrity, a Medicare contractor.   The event was held at the Harris County Medical Society’s headquarters in downtown Houston.

Providers were understandably worried about the situation at hand. The Federal government’s recent emphasis on combating health care fraud and abuse – establishing nationwide RACs, ZPICs and HEAT teams in just the past year – has left hospitals, physicians and other health care providers in a state of panic. Audits of Medicare and Medicaid claims have been ramped up significantly, while Medicare reimbursement rates have been cut. While the deck seems stacked against health care providers, remember that providers themselves have a number of important rights under existing statutes, including rights for appealing denied claims. In this new environment though, it is imperative that health care providers accurately and appropriately document their services and that they use experienced and trained billers to process their Medicare claims.

If you would like more information on this meeting or the services of Robert W. Liles, please call us at: 1 (800) 475-1906 or send an email to rliles@lilesparker.com