Search Results for: revocation

The Criminalization of Pain – In 2022, DOJ is Aggressively Investigating and Prosecuting MDs, NPs and PAs for Violations of the Controlled Substances Act

Medicare, Medicaid & Private Payor Updates /

(April 19, 2022): Despite our government’s best efforts, opioid overdose deaths in America are continuing to spiral out of control. According to the U.S. Centers for Disease Control and Prevention (CDC), during the period April 2020 through April 2021, the number of overdose deaths were more than 30% higher than the previous year. While many […]

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2022 Webinars

TAHCH Webinar Vaccination Mandates Wednesday, January 5, 2022 1 p.m. EST / Noon CST / 10:00 a.m. PST In July 2021, President Biden began rolling out vaccination mandates covering federal employees and contractors. At that time, President Biden also called on employers to implement their own vaccination mandates. Since that time, thousands of organizations around

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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

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ashley Morgan-seniorCounsel-lilesparker

Ashley Morgan, J.D.

Ashley Morgan is a partner at Lliles Parker. She 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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