"Nationwide Healthcare Lawyers"
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 / […]
Ashley Morgan, J.D. Read More »
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
OIG Exclusion Actions — Mandatory and Permissive Exclusion Authorities Read More »
Liles Parker attorneys have decades of experience practicing health care law. Several of our attorneys served as Federal prosecutors and held significant positions at the U.S. Department of Justice. Our health care transactional and regulatory attorneys have the knowledge and counseling skills necessary to efficiently resolve your health care business issues at the lowest possible
Healthcare Law Representation Read More »
The impact of the passage of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) has been enormous. Covered entities, business associates and subcontractor business associates are required by law to fully comply with HIPAA’s requirements. Should they fail to meet their statutory obligations, they are subject to significant administrative penalties, civil enforcement, and
HIPAA Privacy Rule / HIPAA Security Rule / HIPAA Enforcement Rule — Audits by OCR Read More »
(November 11, 2020): If you run a nonprofit company that contracts with the federal government through the AbilityOne Program, then you should be aware that inadequate compliance policies could put your nonprofit in danger of facing allegations of waste, fraud, abuse, and mismanagement, onerous audits and investigations, and even civil liability. Under the AbilityOne Program,
AbilityOne OIG Audits are Ramping-Up! Is Your Nonprofit Agency Ready for an Audit? Read More »
This article reviews the billing of Medicaid after-hours claims (CPT 99050, CPT 99051) in more detail and discusses the types of deficiencies that have been noted by regulators when auditing these services.
Medicaid After Hours Claims Audits (CPT 99050 & 99051) by Regulators are Ongoing. Read More »
By Michael Cook, Jennifer Papapanagiotou & Andy Lynch – Partners at Liles Parker, PLLC. (March 31, 2020): On March 27, 2020, the Coronavirus Aid, Relief and Economic Security (CARES) Act[1] passed the House of Representatives by a voice vote. The President then signed the bill into law. The bill is the third round of federal
(March 25, 2020): As our clients and all members of the health care community are acutely aware, the challenges raised by the Coronavirus / COVID-19 outbreak are critical and widespread. Because of these challenges, the Centers for Medicare and Medicaid Services (CMS) and other principal operating components of the United States Department of Health and
(February 17, 2020): Over the last few months, we have seen a significant increase in the number of telemedicine audits and investigations by law enforcement and program integrity contractors. Unfortunately, most of the calls we have received have been from physicians who have inadvertently become associated with a number of improper telemedicine schemes. The purpose
Telemedicine Audits of Evaluations by Referring Physicians are Increasing Read More »
(August 17, 2019): Over the last year, we have seen a significant increase in the number of Medicaid and private insurance audits of dental claims. A common trigger for these audits included instances in which a practice improperly billed for the services of a non-credentialed dentist while using the identification number of a credentialed provider.
You must be logged in to post a comment.