Search for: "Robert Liles" Results 41 - 60 of 89
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4 Mar 2020, 11:31 am by Robert Liles
Overview of Dental Claims Audits and Investigations by Medicaid and Private Payors in 2019 (March 4, 2020):  Many dentists and dental practices around the country are glad that 2019 is behind us. [read post]
17 Aug 2019, 11:56 am by Robert Liles
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]
9 Jan 2019, 1:39 pm by Robert Liles
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]
27 Dec 2018, 2:00 pm by Robert Liles
Recent Changes to DOJ’s “Justice Manual” Addressing De-Facto Regulations (December 27, 2018):  On November 16, 2017, Attorney General Jeff Sessions issued a memorandum[1] (Sessions Memo) [2]  to all components of the U.S. [read post]
10 Dec 2018, 7:19 am by Robert Liles
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]
3 Dec 2018, 1:21 pm by Robert Liles
EKRA: Laboratories, Treatment Homes and Clinical Treatment Centers Now Face Increased Enforcement and Penalties for Kickback Tainted Claims that are Reimbursed by Private Payors. [read post]
4 Oct 2018, 8:17 am by Robert Liles
Home Health Providers Under the Microscope — The Review Choice Demonstration Project is Here(October 4, 2018):  Last week, the Centers for Medicare & Medicaid Services (CMS), confirmed that it intends to initiate the Review Choice Demonstration for Home Health Services project on December 10, 2018. [read post]
12 Jul 2018, 12:00 pm by Robert Liles
Is Your Urogynecology, OB/GYN or Multidisciplinary Practice Prepared for a Medicare Biofeedback Claims Audit or a Pelvic Floor Therapy Claims Audit? [read post]