"Nationwide Healthcare Lawyers"
The False Claims Act (31 U.S.C. §§ 3729-3733), was first enacted in 1863 by a Congress concerned that suppliers of goods to the Union Army during the Civil War were defrauding the Army. Over the life of the statute it has been interpreted on hundreds of occasions by Federal courts (which have sometimes issued conflicting […]
False Claims Act Matters and Cases 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 Department of Health and Human Services (HHS), Office of Inspector General (OIG) has historically emphasized the importance of “square dealing” with government supported health care programs and urged health care providers to adopt effective practices and procedures that are designed to promote compliance with applicable statutory and regulatory requirements and detect and prevent fraud.
OIG Provider Self-Disclosure Considerations Read More »
(Updated December 2020): Of the many contractors working for the Centers for Medicare and Medicaid Services (CMS), Unified Program Integrity Contractors (UPICs) are by far the serious financial threat to your practice, home health, hospice or DME company. A UPIC audit is serious business. Simply put, the UPIC program was intended to consolidate the work
A UPIC Audit is Serious Business — Is Your Office Prepared? Read More »
(September 15, 2020): There are approximately 1.4 million active duty service members in our country. These active duty service members have approximately 1.9 million dependents. Our military also consists of almost a million reserve and national guard participants. Depending on an individual’s status, these active duty service members, their dependents, and reservists are likely eligible
United Concordia Dental and its SIU are Actively Auditing Dentists Around the Country. Read More »
(March 3, 2020): In recent years, Federal prosecutors around the country have increasingly relied on Civil Investigative Demands when investigating civil False Claims Act matters and cases.[1] It’s easy to see why the government has continued to focus its civil enforcement efforts on alleged violations of the False Claims Act. Let’s look at the numbers
(October 16, 2019): A Federal District Court Judge recently sentenced a Murfreesboro, TN dentist to prison and ordered that he pay restitution to TennCare (Tennessee’s Medicaid program). Regrettably, the types of improper billing practices cited by the government in the criminal Information filed against the defendant dentist aren’t that uncommon. This recent prosecution serves as
Big Changes to CMS Form 855 are on the Horizon[/caption] (September 18, 2019): On September 10, 2019, the Department of Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) published a Final Rule in the Federal Register entitled, “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider
(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.
(February 8, 2019): A series of recent reports out of the Department of Health and Human Services (HHS), Office of Inspector General (OIG) underscore the Federal government’s renewed concerns with respect to orthotic braces, including underlying medical need for these items. From 1994 to 2000, OIG issued half a dozen reports pertaining to orthotics audits
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