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22 Dec 2023, 2:31 pm
B. [read post]
20 Nov 2023, 10:19 am
B. [read post]
10 Oct 2023, 10:51 am
During FY 2022, the Centers for Medicare and Medicare Services (CMS) has estimated the Medicare Part B improper payment rate as 8.41%. while the improper payment rate for Durable Medical Equipment (DME) suppliers was estimated to be 25.24%.[2] Additionally, the Medicaid program improperly paid $80.6 billion in improper claims during FY 2022.[3] Notably, these estimates don’t even take into account the sizeable improper billings submitted to private payors. [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]
20 Jun 2023, 5:55 am
Jennifer and the other attorneys at Liles Parker represent healthcare providers and suppliers around the country in Medicare, Medicaid and private payor disputes and transactions. [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]
29 May 2023, 10:00 am
Slightly more than one-half[2] of the 59.82 million Medicare beneficiaries now eligible for coverage have signed up for one of the 5,261 Medicare Advantage payor plan options offered by 182[3] private plans around the country.[4] There are a number of reasons why Medicare Advantage plans have consistently grown 2-4% every year for the past 15 years, rising from 22% in 2008 to almost 51% in 2023.[5] Several of these reasons include: Coverage: Beneficiaries enrolling in Medicare Part C typically have… [read post]
8 May 2023, 12:28 am
Permissive exclusion actions are covered in §1128(b)(1)–§1128(b)(16) and §1156 of the Social Security Act. [read post]
11 Apr 2023, 11:05 am
B. [read post]
30 Mar 2023, 7:10 am
B. [read post]
30 Mar 2023, 7:10 am
Liles Parker attorneys have [read post]
26 Jan 2023, 8:27 am
B. [read post]
29 Nov 2022, 10:25 am
” Anthony B. [read post]
10 Oct 2022, 5:01 am
Civil Investigative Demands (CIDs) & Collateral Enforcement Risks: A Review (October 12, 2022): The False Claims Act is the primary civil enforcement tool utilized by our government today. [read post]
5 Oct 2022, 4:11 am
B. [read post]
26 Sep 2022, 3:46 am
Congress passed (and President Lyndon B. [read post]
12 Aug 2022, 4:24 am
Law Enforcement Has Initiated Medicare Audits of Amniotic Liquid / Amniotic Tissue / Skin Substitute / Wound Care Claims: UPIC Audits of Original Medicare Part B Amniotic Tissue / Skin Substitute / Wound Care Claims. [read post]
29 Jul 2022, 6:14 am
Then something happened… B. [read post]
24 May 2022, 11:28 pm
B. [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]
