"Nationwide Healthcare Lawyers"
(May 20, 2018): It’s been a rough week for at least one Texas rheumatologist. Last Monday, the U.S. Attorney’s Office for the Southern District of Texas announced the indictment of a South Texas rheumatologist for multiple counts of health care fraud and one count of conspiracy to commit money laundering. The magnitude of the alleged […]
(April 12, 2018): The Centers for Medicare & Medicaid Services (CMS) utilizes a variety of private contractors to process Medicare claims and conduct both administrative and program integrity audits of claims submitted by healthcare providers and suppliers. At the present time, CMS has contracted with eGlobalTech (eGT) to analyze data and prepare “Comparative Billing Reports”
CBRs for Spinal Orthoses (CBR201803): What Do You Need to Know? Read More »
(April 12, 2018): A big concern with the Medicare appeals process is the ghastly backlog at the Office of Medicare Hearings and Appeals (OMHA) for an Administrative Law Judge (ALJ) hearing coupled with the government’s authority to recoup alleged overpayments after the second level of appeal (reconsideration). There is renewed buzz regarding the backlog and
(April 2, 2018): Our nation’s demographics are changing. In less than 20 years, it is estimated that for the first time in country’s history, the number of individuals over the age of 65 will exceed the number of children.[1] These increases are already being seen in our rapidly expanding Medicare healthcare benefit program. At last
The PSAVE Pilot Program: Should You Self-Audit Your Medicare Claims? Read More »
(January 26, 2018): From Churches to Congress, sexual harassment and assault charges have plagued many of the institutions that our society holds dear. As revelations of sexual misconduct continue to surface, we continue to learn of the many abuses of those in powerful positions; those whom we once revered. The rise of the #MeToo Movement
Sexual Harassment: Cases Against Texas Physicians in 2017 Read More »
(November 29, 2017): The Medicare and Medicaid programs are managed by the Centers for Medicare and Medicaid Services (CMS). CMS has engaged Unified Program Integrity Contractors (UPICs) and Zone Program Integrity Contractors (ZPICs), among others, to provide program integrity support. In the course of their duties, UPICs and ZPICs may initiate a prepayment review, postpayment
UPIC / ZPIC Referrals to State Boards, Societies, Surveyors and QIOs Read More »
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
Client Testimonials Read More »
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
Liles Park – Nationwide Health Care Lawyers Read More »
(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,
NBI MEDIC Referrals to Boards, OIG and DOJ are Here! Read More »
Meaghan McCormick is an Associate Attorney in Liles Parker’s Washington, DC office where she concentrates her practice in the area of health care regulatory compliance. Meaghan has experience with auditing claims, identifying deficiencies, and assisting clients in improving their documentation. She also assists providers with creating and implementing effective compliance plans. Meaghan has assisted Dentists,
Meaghan (McCormick) DeBenedetto Read More »
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