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Robert W Liles
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Robert Liles’s Legal Guides

5 total

  • RECOVERY AUDIT CONTRACTORS: AN EXPANDING CONCERN FOR HEALTH CARE PROVIDERS

    I. Introduction -- Background The demonstration project began as a three year program with two types of RACs – Medicare Secondary Payor (MSP) RACs and Claim RACs. CMS instructed the MSP RACs to focus

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  • Provider's Rights During a Medicare Overpayment Audit

    Here's what to do if you're subjected to an audit.

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  • HEAT Enforcement Update: Health Care Fraud Investigations in Texas Increased During March 2010

    Case #1 A Psychologist was convicted of health care fraud and money laundering, in connection with various claims fraudulently billed to Medicare. Instances of improper conduct included billing for

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  • Overview of the “Medicare Administrative Contractor” (MAC) Program and its Impact on Medicare Audit

    Among its many provisions, the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA) permitted the Centers for Medicare & Medicaid Services (CMS) to overhaul the Intermediary (Part A) and Contractor (Part B) systems, consolidating the two systems and central...

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  • Ten Steps You Can Take to Strengthen Your Practice's Medicare Compliance Efforts

    Has your Texas Physician Practice, Home Health Agency, Hospice, DME Company or PT / OT / ST Clinic been audited by a Zone Program Integrity Program (ZPIC)? If not, it may only be a matter of time. Despite your best efforts to follow Medicares directives, your organization may sti...

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