Ashley Morgan

Personal Care Service Agencies and Personal Care Service Attendants are Increasingly Targeted in Medicaid Fraud Investigations

(September 15, 2023): Medicaid funding for personal care services allows those that need help for activities of daily living to remain in their homes and receive care from qualified individuals rather than have to live in institutional settings.[1] This is also a benefit to Medicaid, as it reduces the demand and costs for institutional and […]

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The OIG Identifies Substantial SNF Medicare Overpayments

(November 18, 2012): A recent report issued by the Department of Health and Human Services, Office of Inspector General (OIG), OEI-02-09-00200 (Report), found substantial errors in payments made by Medicare to skilled nursing facilities (SNFs) for FY 2009. The Report also found substantial errors in SNF reporting on the Minimum Data Set (MDS) forms. Specifically,

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Liles Parker Says “Thank You” to America’s Veterans — God Bless America

(November 12, 2012): On this Veterans Day, Liles Parker thanks all of our nation’s veterans for their tremendous service and sacrifice in the defense of the United States of America. Please join us in remembering our soldiers, marines, sailors, and airmen for their unparalleled courage and commitment to our country. Liles Parker is a full service,

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Individual Liability for Medicare Overpayment Claims

(October 19, 2012): This article addresses the case where an individual or “natural person” owns an interest in a Medicare health care provider which is incorporated[1] under the laws of a state, as a corporation, limited liability company, limited partnership, or another type of legal person. The individual may be a shareholder, member, limited partner,

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Medicare Audits in Miami, FL

(August 28, 2012): In this feature, we focus on particular Medicare audits and appeals information for various ZPIC audit and RAC audit hotspots around the country. Check back in for information about Medicare audits and appeals in your city. Medicare Audits in Miami, FL: At-a-Glance Information: Miami Population: 408,750 (2011 Census)Medicare Administrative Contractor (MAC) (Parts

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Guide to Efficient Business Transactions: Part III

(July 6, 2012): This article is a continuation of our discussion on how a business person can manage attorneys and other professionals in the legal process of his business transactions, to minimize the costs and risks. A link to Part II is provided: Click here for Part II. I. Efficient Business Transactions, Continued: (k) Conform

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Guide to Efficient Business Transactions: Part I

(June 18, 2012): How a business person can manage attorneys and other professionals in the legal process of his business transactions, to minimize cost and risk and maximize efficiency? Let’s look at a few these issues below. I. Goal of this Guide; Goals of Your Business Transactions. This Guide is written for those handling important

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Non-Disclosure Agreement – Checklist for the Recipient of Confidential Info

(April 12, 2012): You are considering a business transaction. The other party will be disclosing confidential information to you and asks that you sign its “standard form” Non-Disclosure Agreement. Before signing a Non-Disclosure Agreement, you need to carefully review whether it is in your best interests to enter into such a document. Here is a

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Medicaid RAC Program Up and Running – 26 States Award RAC Contracts

(April 11, 2012): At a conference last week in Baltimore, Angela Brice-Smith, Acting Director of the Centers for Medicare & Medicaid Services (CMS) Medicaid Integrity Group, stated that 26 states have awarded contracts under the Medicaid RAC program, and a quarter of those states’ Medicaid RACs are now reviewing claims. Ms. Brice-Smith added that CMS

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