Search for: "Robert Liles"
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8 May 2023, 12:28 am
Medicare Exclusion Risks: Employing Excluded Individuals Can Result in Significant Administrative, Civil and / or Criminal Liabilities (May 8, 2023): One of the most severe administrative sanctions available under the Social Security Act stems from the authority of the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS)[1] to “exclude” individuals and entities from participating in Federal health care programs.[2] While the… [read post]
29 May 2023, 10:00 am
Medicare Advantage Plans are Aggressively Denying Claims – Administrative Appeals are Growing (May 25, 2023): According to the latest data released by the Centers for Medicare and Medicaid Services (CMS), beneficiaries participating in Medicare Advantage[1] plans now surpass those enrolled in original Medicare plans. [read post]
11 Mar 2010, 8:01 am
For a complementary consultation, you may call Robert W. [read post]
28 Jun 2023, 6:53 am
Texas HHSC-OIG is Ramping-Up its Investigations of Medicaid Pediatric Telemedicine Claims (June 27, 2023): In the State of Texas, Medicaid plays a significant role in providing healthcare services to a large portion of the population. [read post]
12 Apr 2018, 8:48 am
CBRs for Spinal Orthoses (CBR201803): What Do You Need to Know? [read post]
29 Oct 2021, 9:03 pm
The Collateral Enforcement Risks of DOJ Civil Investigative Demands (CIDs) Issued in False Claims Act Matters and Cases (October 21, 2021): The False Claims Act [1] remains the primary civil enforcement tool utilized by the U.S. [read post]
29 Oct 2021, 9:03 pm
The Collateral Enforcement Risks of DOJ Civil Investigative Demands (CIDs) Issued in False Claims Act Matters and Cases (October 21, 2021): The False Claims Act1 remains the primary civil enforcement tool utilized by the U.S. [read post]
24 Apr 2015, 9:17 am
Panelists: Celia Li and Gary Wu, Kangxin Partners; Martin Miller, Robert Morgan and Donna Ruscitti, Porter Wright Moderator: Melanie Martin-Jones, Porter Wright For more information about the Strategies for protecting IP rights in China seminar, contact Porter Wright. [read post]
9 Mar 2020, 10:26 am
Medicare Revocation Actions Under 42 CFR § 424.535(a) are Rising Around the Country! [read post]
20 May 2018, 2:26 pm
An Overview of Administrative Rheumatology Audits / Adverse Actions AND Civil / Criminal Enforcement Actions (May 20, 2018): It’s been a rough week for at least one Texas rheumatologist. [read post]
20 May 2018, 2:26 pm
An Overview of Administrative Rheumatology Audits / Adverse Actions AND Civil / Criminal Enforcement Actions (May 20, 2018): It’s been a rough week for at least one Texas rheumatologist. [read post]
6 Nov 2024, 5:51 am
Agencies Around the Country are Facing Expanded Administrative Medicare Hospice Audits and Investigations (November 5, 2024): It’s been a frustrating year for many Medicare hospice providers around the country. [read post]
6 Nov 2024, 5:51 am
Agencies Around the Country are Facing Expanded Administrative Medicare Hospice Audits and Investigations (November 5, 2024): It’s been a frustrating year for many Medicare hospice providers around the country. [read post]
13 Aug 2019, 1:28 pm
Genetic Testing Fraud Prosecutions are on the Rise Around the Country. [read post]
21 Dec 2018, 10:43 am
Audits of Telehealth Services are Increasing. [read post]
17 Aug 2019, 11:56 am
The Dangers of Billing Payors for the Services of a Non-Credentialed Dentist / Non-Participating Dentist (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. [read post]
14 Jun 2023, 8:02 am
HHS Departmental Appeals Board (DAB) Appeals (June 15, 2023): The Department of Health and Human Services (HHS) is enormous, employing more than 80,000 individuals[1] who work in a dozen operating divisions and an even greater number of independent offices that report directly to the Office of the Secretary.[2] One of these independent offices is the HHS Departmental Appeals Board (DAB or Board). [read post]
17 Sep 2019, 1:21 pm
A Civil Investigative Demand Issued to You or Your Medical Practice is Serious Business. [read post]
28 Sep 2020, 8:58 am
Home Health Revocation Actions by Medicare are Expanding Around the Country (September 28, 2020): Last September, CMS published a Final Rule titled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
26 Jan 2018, 9:43 am
Sexual Harassment: Cases Against Texas Physicians in 2017 (January 26, 2018): From Churches to Congress, sexual harassment and assault charges have plagued many of the institutions that our society holds dear. [read post]
