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3 May 2022, 11:34 am by Robert Liles
”  Moreover, the government noted that “[b]y and large, their patients were legitimate patients. [read post]
26 Jan 2021, 1:33 pm by Robert Liles
Under the Anti-Kickback Statute, a health care provider may be liable if he or she is found to be: (b) Illegal remunerations  (1) Whoever knowingly and willfully solicits or receives any remuneration (including any kickback, bribe, or rebate) directly or indirectly, overtly or covertly, in cash or in kind— (A) in return for referring an individual to a person for the furnishing or arranging for the furnishing of any item or service for which payment may be made in whole… [read post]
3 Jan 2021, 3:07 pm by Robert Liles
Audits of Respiratory (CPT Code 87633) / Gastro (CPT Code 87507) Panels are Ongoing. [read post]
28 Dec 2020, 10:19 am by Robert Liles
A Look Back at Hospice Audits and Prosecutions in 2020 — Are You Ready for 2021? [read post]
28 Sep 2020, 8:58 am by Robert Liles
NEW — Abusive ordering, certifying, referring, or prescribing of Part A or B services, items or drugs. 42 C.F.R. [read post]
28 Sep 2020, 8:58 am by Robert Liles
NEW — Abusive ordering, certifying, referring, or prescribing of Part A or B services, items or drugs. 42 C.F.R. [read post]
25 Sep 2020, 11:41 am by Robert Liles
(ii) The documentation includes written and electronic documents (including the NPI of the physician or, when permitted, other eligible professional who ordered, certified, referred, or prescribed the Part A or B service, item, or drug) relating to written orders, certifications, referrals, prescriptions, and requests for payments for Part A or B services, items or drugs [read post]
25 Sep 2020, 11:41 am by Robert Liles
(ii) The documentation includes written and electronic documents (including the NPI of the physician or, when permitted, other eligible professional who ordered, certified, referred, or prescribed the Part A or B service, item, or drug) relating to written orders, certifications, referrals, prescriptions, and requests for payments for Part A or B services, items or drugs [read post]
12 Sep 2020, 11:46 am by Robert Liles
§ 1320a-7b(b)(1)(A).[11]: Generally, sober home and recovery residences do not qualify as health care providers or suppliers and are unable to be credentialed and participate in health benefits programs. [read post]
31 Mar 2020, 8:38 am by admin
  Liles Parker has published a series of articles highlighting the waivers and other actions taken by the Centers for Medicare & Medicaid Services and other Federal and State agencies to ease the burden on healthcare providers during the COVID-19 public health emergency.[2]  This article is the first in a two-part series that will highlight some of the more significant provisions of the Cares Act. [read post]
27 Mar 2020, 8:39 am by Jennifer Papapanagiotou
We recommend providers carefully review the CMS and DEA guidance specific for each service or activity for complete details or contact a Liles Parker attorney for more information. [read post]