Search for: "Robert Liles"
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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]
9 Mar 2020, 10:26 am
Medicare Revocation Actions Under 42 CFR § 424.535(a) are Rising Around the Country! [read post]
9 Mar 2020, 10:26 am
42 CFR Sec. 424.535(a) Medicare Revocation Actions — Your Medicare Billing Privileges Can be Revoked For a Host of New Reasons. [read post]
4 Mar 2020, 11:31 am
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]
3 Mar 2020, 11:07 am
Have You Received a Civil Investigative Demand (CID)? [read post]
18 Sep 2019, 2:08 pm
Medicare, Medicaid and CHIP Enrollment Revocation and Denial Authorities Have Expanded. [read post]
18 Sep 2019, 2:08 pm
Medicare, Medicaid and CHIP Enrollment Revocation and Denial Authorities Have Expanded. [read post]
17 Sep 2019, 1:21 pm
A Civil Investigative Demand Issued to You or Your Medical Practice is Serious Business. [read post]
10 Sep 2019, 11:50 am
• Robert V. [read post]
10 Sep 2019, 11:50 am
• Robert V. [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]
13 Aug 2019, 1:28 pm
Genetic Testing Fraud Prosecutions are on the Rise Around the Country. [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]
3 Jan 2019, 9:01 am
Aetna’s SIU is Actively Auditing Dental Claims. [read post]
27 Dec 2018, 2:00 pm
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]
21 Dec 2018, 10:43 am
Audits of Telehealth Services are Increasing. [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]
3 Dec 2018, 1:21 pm
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
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]
16 Jul 2018, 12:47 pm
Medicare UPIC Audits of Transcranial Magnetic Stimulation Services are Ongoing. [read post]
