Search for: "Robert Liles"
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23 Feb 2022, 4:27 am
A Review of Dental Enforcement in 2021 and a Look at What Dentists Should Expect in 2022 (February 22, 2022): The treatment and business challenges presented by COVID-19 over the last two years have been especially demanding on dentists and their practices. [read post]
9 Jan 2019, 1:39 pm
Texas Prosecutors are Aggressively Targeting Criminal Home Health Fraud (January 9, 2019): Despite real progress being made with respect to regulatory compliance, home health agencies, their owners, and affiliated health care professionals (such as referring / supervising physicians, therapists and staff) remain under strict government scrutiny. [read post]
16 Jul 2018, 12:47 pm
Medicare UPIC Audits of Transcranial Magnetic Stimulation Services are Ongoing. [read post]
22 Jan 2018, 9:17 am
Personal Care Services Are Under the Government’s Microscope (January 22, 2018): The Department of Health and Human Services, Office of Inspector General (HHS-OIG) has conducted numerous audits, evaluations, and investigations involving the provision of “ personal care services ” to Medicaid beneficiaries. [read post]
27 Mar 2020, 7:53 am
DOJ is Aggressively Investigating Allegations of Wrongdoing Related to COVID-19 Fraud and the Current National Emergency (March 27, 2019): We live in trying times. [read post]
12 Sep 2020, 11:46 am
Sober Home and Recovery Residence Fraud Enforcement Efforts are on the Increase – Are Your Sober Home Business Practices Legal? [read post]
3 Jun 2020, 1:07 pm
Medicaid After-Hours Claims Audits (CPT Code 99050 / CPT Code 99051) by State Medicaid Regulators are Continuing. [read post]
16 Apr 2018, 11:52 am
Expect an Increase in Audits of Chiropractic Services! [read post]
25 Sep 2020, 11:41 am
Telemedicine Related Medicare Revocation Actions for Failure to Provide Access to Documentation are on the Rise! [read post]
12 May 2022, 6:59 am
State and Federal Hospice Audit and Investigation Efforts are Expanding in 2022 (May 12, 2022): Hospice agencies are again the focus of both state and federal investigators and prosecutors around the country. [read post]
24 May 2022, 11:28 pm
Balloon Sinuplasty Fraud / Balloon Dilation Fraud Prosecutions are Increasing Around the Country (May 25, 2022): In recent years, federal regulators have initiated a significant number of audits and investigations examining the improper billing of claims for balloon sinuplasty / balloon dilation procedures by Otolaryngologists (commonly referred to as Ear, Nose and Throat (ENT) physicians. [read post]
9 Jan 2021, 2:00 pm
Eight Elements of a Payable Claim are an Essential Tool When Preparing for a UPIC Audit (Updated January 9, 2021): Each year, our attorneys and paralegals review and assess literally thousands of Medicare claims which have been audited (and denied) by Unified Program Integrity Contractors (UPICs) and other contractors working for the Centers for Medicare and Medicaid Services (CMS). [read post]
20 Mar 2022, 9:14 am
The OIG Exclusion List of Individuals and Entities is Growing. [read post]
20 Mar 2022, 9:14 am
The OIG Exclusion List of Individuals and Entities is Growing. [read post]
19 Jan 2021, 8:43 pm
Prepayment Reviews and Audits of Medicare Claims are Ongoing. [read post]
16 Jul 2018, 12:47 pm
Medicare UPIC Audits of Transcranial Magnetic Stimulation Services are Ongoing. [read post]
12 Jul 2018, 12:00 pm
Is Your Urogynecology, OB/GYN or Multidisciplinary Practice Prepared for a Medicare Biofeedback Claims Audit or a Pelvic Floor Therapy Claims Audit? [read post]
10 Dec 2018, 7:19 am
Mobile Dentistry in Texas – An Overview of Regulatory Risk Areas to be Considered(December 7, 2018): Each state sets their own licensure requirements, rules and regulations regarding the practice of dentistry, all of which are subject to change. [read post]
12 Jul 2018, 12:00 pm
Is Your Urogynecology, OB/GYN or Multidisciplinary Practice Prepared for a Medicare Biofeedback Claims Audit or a Pelvic Floor Therapy Claims Audit? [read post]
27 Jun 2018, 3:56 pm
Is ePHI Encryption Required? [read post]
