Search Results for: Special Investigations Unit

Client Testimonials

Mr. Liles is an amazing and very knowledgeable attorney. I appreciated his expertise on how to proceed with a case. Even though I was not able to retain him he provided me with solid advice. I appreciated his time and I will highly recommended him. Theresa Cotten January, 2024 Positive: Professionalism, Quality, Responsiveness All of […]

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Pain Management Prescribing Practices and Audits.

(August 16, 2017): Earlier this summer, the U.S. Department of Justice (DOJ) executed its most extensive “health care fraud takedown” to date, initially arresting 412 licensed healthcare providers, doctors, and nurses alleged to have engaged in fraudulent conduct (additional arrests were made in the days following the takedown).  As Attorney General Jeff Sessions stated at

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Liles Park – Nationwide Health Care Lawyers

We Defend Healthcare Providers Nationwide in Audits & Investigations. Liles Parker PLLC is a health care regulatory firm representing health care providers and suppliers around the country in complex business transactions, administrative, civil and criminal litigation. Founded by a former Federal prosecutor and the former General Counsel of a Fortune 500 company, Liles Parker has

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NBI MEDIC Referrals to Boards, OIG and DOJ are Here!

(June 28, 2017): The Medicare program is enormous. As of 2016, more than 56 million individuals participated in the program, with more than 10,000 additional individuals enrolling in the program each day. The Centers for Medicare and Medicaid Services (CMS) is the agency responsible for managing this costly program. To direct this $640 billion program,

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Medicare Chiropractic Audits are Increasing!

(June 5, 2017): Despite the fact that only three treatment services are covered by Medicare, the number of Medicare chiropractic audits conducted by the Department of Health Human Services (HHS), Office of Inspector General (OIG), has remained high over the last decade and is anticipated to grow throughout 2017 and 2018. As you are aware,

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OIG And DOJ Issue Important New Compliance Guidance

Compliance Guidance (April 14, 2017) Recently, the Office of Inspector General of the United States Department of Health and Human Services (OIG) and the Criminal Division of the Fraud Section at the United States Department of Justice (DOJ) have issued guidance on measuring the effectiveness of corporate compliance programs.  In February, DOJ placed on its

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ZPIC Audit Responsibilities Have Been Transferred to UPICs Around the Country

(Updated January 4, 2021): In April 2014, the Centers for Medicare and Medicaid Services (CMS) issued an an Umbrella Statement of Work for the the awarding of program integrity contracts by new organizations known as “Unified Program Integrity Contractors” (UPICs). UPICs took over the responsibilities of Zone Program Integrity Contractors (ZPICs) and Medicaid Integrity Contractors

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