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My practice is focused on health care fraud / Medicare audit defense, internal audits / investigations, compliance and regulatory matters. I have represented a wide variety of health care providers and suppliers in connection with Unified Program Integrity Contractor (UPIC), Comprehensive Error Rate Testing (CERT), and Recovery Audit Program (RAC) audits and reviews.
Before entering private practice, I worked as an Assistant United States Attorney in the Southern District of Texas, Houston office, where I primarily handled False Claims Act matters and cases. I was subsequently appointed as Chief of the Financial Litigation Unit for the Southern District of Texas.
After the enactment of HIPAA, I was detailed to the Executive Office for United States Attorneys in Washington, D.C. as our nation's first "National Health Care Fraud Coordinator." In this capacity, I advised Assistant United States Attorneys around the country on civil and criminal health fraud statutes, schemes, investigative tools, privacy concerns, and compliance issues. I have taught and lectured at more than 50 national conferences and seminars to DOJ prosecutors, investigators, auditors, and industry representatives on a variety of civil and criminal fraud and regulatory issues.
I am married to a Public Health Nurse and have two sons, ages 23 and 26.
2
Practice Areas
33 years
33 years
Free Consultation
$0 first 60 minutes
$ 495-635 per hour
30%-40%
Always
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Chat withState: District of Columbia
Acquired: 2001
No misconduct found
State: Texas
Acquired: 1993
No misconduct found
2121 Wisconsin Ave. N.W., Suite 200, Washington, DC, 20007
11111 Katy Freeway (By Appointment Only), Suite 910, Houston, TX, 77079
Showing 1 - 5 of 5 client reviews from Avvo
Posted by anonymous | February 20, 2017 | Hired Attorney
Worked with Robert Liles and his team. Excellent substantive knowledge and judgment. First class legal work.
Posted by Cyndee | March 10, 2016 | Hired Attorney
We have worked with Mr. Liles and attorneys from Liles Parker for more than a decade. They have always been extremely helpful, reliable and very responsive to our needs. Their attorneys are very knowledgeable and up-to-date on healthcare regulations and changes. We enthusiastically recommend their fi...
Posted by anonymous | March 31, 2009
Robert is an excellent health care attorney with a willingness to go that excellent mile. He addressed all my concerns with ease and confidence. He makes you feel comfortable and responds to your concerns objectively and knowledgeably. His expertise on billing and heath care issues is incredible. ...
Posted by anonymous | March 25, 2009
Robert is ian ncredibly knowledgeable health care lawyer. He response quickly when you contact him. He makes you feel comfortable enough to ask him any question and responds honestly and objectively.
Posted by anonymous | September 24, 2008
Mr. Liles has worked with our association and members for several years now. He has always been very knowledgeable about billing and about regulatory issues concerning Government programs and non-Government insurance as well as a host of other regulatory issues affecting doctors, coders and medical b...
"I endorse this lawyer. Robert is an excellent attorney and an even better person. I had the privilege to work with Robert and I consider him a great friend and mentor."
"I endorse this lawyer. Robert is an experienced health care attorney and I recommend him. I enjoyed working with him at a high level attorney conference a couple of years ago. I was very impressed by his knowledge."
"Robert has worked with me on complicated high stakes issues for my clients. I am very satisfied with his style, approach, candor and the results. In one instance, he readily referred me to a colleague where he felt that was best attorney for the client. My clients have been singing his praises."
"Mr. Liles is a talented attorney and I recommend him. I had the pleasure of working with Robert at a recent high level attorney conference."
"Robert is an experienced and savvy healthcare law attorney who is extremely good at what he does. He is also passionate about his work. I would highly recommend his services to anyone in need of a great healthcare attorney."
"Endorsement: I have known Robert several years and he has a passion for his work and in representing his clients. Robert is very smart, thorough, pragmatic, and results driven. He has been highly successful as an Assistant US Attorney and a senior Dept of Justice attorney and continues to be highly successful as one of the most accomplished attorneys in private practice in the area of healthcare law. His knowledge is unsurpassed in this area and I have had the pleasure of working with him on several legal matters including contractually mandated arbitration while representing a physician. I recommend visiting with him on all healthcare matters as his advice and his contacts throughout the country are invaluable."
"Robert Liles is one of the best Medicare audit attorneys in the country. While I'm technically one of his competitors, he is always open to discussing new strategies and legal defenses with me and sharing some of his own ideas. If Robert is your attorney in a Medicare appeal, then you have as good of an attorney as you will ever find to handle your case. He's a great guy."
"Robert Liles is a mild mannered legal dynamo. He is dedicated, thorough and extremely efficient. No stone is unturned in finding the way to a good resolution of a lawsuit. Robert cares about his client, let's them know the reality of their situation and keeps them calm. He knows the prosecutions methods, since he was a federal prosecutor. No one wants to need an attorney, especially if you are fighting for your business and reputation. Yet, here is a port in the storm of the insane legal system."
"I endorse this lawyer's work. Robert Liles is the most skilled attorney I have seen in the healthcare law area. His background is unique in that as an Assistant US Attorney and a senior Dept of Justice attorney, his job was to formulate many of today's policies and procedures for the Government in this area of law. Now in private practice, this background plus his great ability allow him to provide the most cogent, nuanced and practical advice I have experienced in the health area. The great demand for his speaking skills also testifies to this. I now trust my clients to Robert's advice exclusively in health matters."
"I had the pleasure of working with Robert for several years when we were at the U.S. Attorneys' Office in Houston. I have always been impressed by Robert's great skills at communicating with people, his ability to explain complex matters in easily understandable ways, his care for others, and, of course, his keen intellect. After our paths diverged, Robert moved to Washington, DC, where he worked at the U.S. Department of Justice and made fabulous contacts with attorneys in Main Justice and gained substantial experience about federal False Claims Act cases. While, unfortunately, we don't have the day-to-day contact that we once had, I value Robert's friendship and professionalism and would highly recommend him to anyone seeking an experienced, mature, insightful, and diligent attorney. He is a lawyers' lawyer. "
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2015
AV Preeminent 5.0 out of 5 Peer Review Rated, Martindale-Hubbell
2015
Rated "Superb", AVVO
2014
"Top Lawyers in Washington, DC", The Legal Network
2014
AV Preeminent 5.0 out of 5 Peer Review Rated, Martindale-Hubbell
2014
Rated "Superb", AVVO
2013
"Top Lawyers in Washington DC", The Legal Network
2013
"Superb", AVVO
2013
AV Preeminent 5.0 out of 5 Peer Review Rated, Martindale-Hubbell
2012
AVVO Rating of "Superb", AVVO
2012
AV Preeminent 5.0 out of 5 Peer Review Rated, Martindale--Hubbell
2011
AV Preeminent 5.0 out of 5 Peer Review Rated, Martindale--Hubbell
2011
AVVO Rating of "Superb", AVVO
2010
AV Preeminent 5.0 out of 5 Peer Review Rated, Martindale-Hubbell
2010
AVVO Rating of "Superb", AVVO
2009
AV Preeminent 5.0 out of 5 Peer Review Rated, Martindale-Hubbell
2008
Achievement Award for Legal Service to AMBA Members, American Medical Billing Association
2008
Legion of Honor, Order of DeMolay
2008
AV Preeminent 5.0 out of 5 Peer Review Rated, Martindale-Hubbell
2008
Named "Legal Editor" for the "Fraud and Abuse Answer Book", DecisionHealth
2007
AV Preeminent 5.0 out of 5 Peer Review Rated, Martindale-Hubbell
2006
Named Outside General Counsel, American Medical Billing Association
2005
AV Preeminent 5.0 out of 5 Peer Review Rated, Martindale-Hubbell
2005
AV Preeminent 5.0 out of 5 Peer Review Rated, Martindale-Hubell
2004
AV Preeminent 5.0 out of 5 Peer Review Rated, Martindale-Hubbell
2003
AV Preeminent 5.0 out of 5 Peer Review Rated, Martindale-Hubbell
2002
AV Preeminent 5.0 out of 5 Peer Review Rated, Martindale-Hubbell
2001
AV Preeminent 5.0 out of 5 Peer Review Rated, Martindale-Hubbell
2001
Appreciation Award for Labor Law Work, U.S. Attorney's Office, SDTX
2000
Named "Senior Litigation Counsel", U.S. Department of Justice
1998
Director's Award (Agency's Highest Award - for HCF work), EOUSA, Dept. of Justice
1997
Named "National Health Care Fraud Coordinator" , EOUSA, Dept. of Justice
2006 - Present
Partner, Liles Parker, PLLC
2002 - 2006
Partner, Martyn Liles, PLLC
2001 - 2002
Senior Counsel, Jenkens & Gilchrist
1999 - 2000
Deputy Director, Executive Office for U.S. Attorneys, Dept. of Justice
1997 - 1999
National Health Care Fraud Coordinator, Executive Office for U.S. Attorneys, Dept. of Justice
1995 - 1997
Chief, Financial Litigation Unit, U.S. Attorney's Office, Houston TX
1994 - 1995
Asst. U.S. Attorney, U.S. Attorney's Office, Houston TX
2015 - Present
National Alliance of Medical Auditing SpecialistsMember
2012 - Present
American Association of Professional CodersMember
2010 - Present
Health Care Compliance AssociationMember
2006 - Present
Christian Trial Lawyers AssociationMember
2001 - Present
American Health Lawyers AssociationMember
2001 - Present
District of Columbia BarMember
1993 - Present
State Bar of TexasMember
1992
J.D.
1985
Master's in Hospital Administration
1984
M.B.A.
1982
B.A. in Economics
2015
2015
“Understanding HIPAA and other Privacy Issues Affecting Your Private Duty Agency"
2015
2015
2015
2015
“Employment Law Issues Impacting Home Health Agencies"
2015
“Preparing and Responding to Various Medicare Claims Audits”
2015
2015
2015
"Provider Exclusions, HIPAA Changes and Legal Issues with ICD-10"
2015
"Compliance Report -- Concerns and Risks for Billers and Coders"
2014
“Risky Business. . . Avoiding Legal Pitfalls to Protect Your Business and Bottom Line"
2014
"Top 10 Steps You Can Take to Improve Compliance and Stay Out of Trouble with the Government"
2014
“Be Careful Before Moving to Cloud Computing: A Contrarian View of the Inevitable”
2014
“Enhanced Provider Exclusion Rules and the Impact on Your Screening Obligations"
2014
“When to Disclose – Legal Obligations and Options"
2014
“Enhanced Provider Exclusion Rules and the Impact on Your Screening Obligations"
2014
"Risky Business: Avoiding Program Integrity Pitfalls Currently Facing Your Health Care Practice "
2014
“Human Resource / Employee Relations Risks"
2014
“Identifying Risks and Modifying Your Compliance Plan to Take These Risks Into Account"
2013
“Overview of Health Care Compliance and Relevant Statutory Provisions Now Facing South Texas Providers.”
2013
“Red Hot Compliance Update -- 2013”
2012
"Social Media Concerns for Providers and Billers"
2012
"HIPAA, HITECH and Emerging Risk Areas for 2012"
2012
"Building an Effective Anesthesia Compliance Program"
2011
"Responding to Unannounced Audits"
2011
2011
"Reading the Tea Leaves -- Issues of Concern Covered in HHS-OIG's 2012 Workplan
2011
Returning Overpayments to the Government
2011
2011
2011
2011
2011
2011
2011
2010
2010
Responding to ZPIC Audits and Investigations
2010
Medicaid Intregity Contractors: The Newest Challenge Faced by Providers
2010
Responding to an Audit by Medicaid Integrity Contractor
2009
Current Issues Facing Third-Party Billing Companies
2009
Overview of Current Federal Enforcement Efforts
2009
2009
2009
Current Risks Faced by Physician Practices
2009
Responding to PSC and RAC Audits
2009
Issues Facing Third-Party Billing Companies
2008
A New Breed CMS Auditor: PSCs and RACs
2008
A New Breed of CMS Contractors: PSCs and RACs
2008
Keynote Speaker: Post-Election Legislative Initiatives
2008
Provider-Vendor Relationships: How to Stay on the Right Side of the Red Line
2008
RACs and PSCs: Addressing Audits by CMS Contractors
2008
How to Conduct an Internal Compliance Audit of Your Clinic
2008
How to Respond if Your Clinic is the Subject of an Invesitgation
2008
Issues Facing Third-Party Companies
2008
Regulatory Compliance Concerns with Percentage-Based Billing Agreements
2008
Issues Facing Third-Party Billing Companies
2007
History and Current Status of the False Claims Act
2007
Compliance Violations and Penalties
2007
Health Care Fraud: Audits and Investigations
2006
Bad Faith Peer Review Concerns
2006
Chiropractic Fraud Issues
2006
Health Care Fraud Update
2006
Keynote Speaker: Health Care Compliance
2006
Health Care Fraud: Issues and Concerns from a Legal Perspective
2003
Trial Advocacy Skills
2003
HIPAA Privacy: An Essential Element of an Effective Compliance Strategy
2003
Overpayment Issues
2002
Trial Advocacy Skills
2002
Responding to an Investigation of Your Practice
2002
Responding to Federal Investigations
2001
New Leadership: What to Expect from DOJ and HHS-OIG
2001
2001 Podiatric Coding & Practice Management Summit
2001
Health Care Fraud Enforcement Efforts
2001
Voluntary Disclosure Issues
2001
Pharmaceutical Legislative Initiatives
2000
Civil and Criminal Health Care Fraud Enforcement
2000
Priority Prosecution Areas
2000
Health Care Fraud Review Panel
1999
Moderator, Nursing Fraud and Abuse Enforcement Panel
1999
Civil & Criminal Health Care Fraud Statutes
1999
Qui Tams
1998
False Claims Act and National Project Developments
1998
Use of the False Claims Act in Civil Health Care Matters
1998
Use of the False Claims Act
1997
Health Care Fraud Collection Issues
1997
Investigative Techniques & Issues
1997
Role of Auditors & Investigators
2013
2012
2011
2011
2007
2005
2002
2001
Spanish
Legal Answers
Legal Guides
Overview of the “Medicare Administrative Contractor” (MAC) Program and its Impact on Medicare Audit
22 Apr 2010
HEAT Enforcement Update: Health Care Fraud Investigations in Texas Increased During March 2010
12 Apr 2010
Provider's Rights During a Medicare Overpayment Audit
17 Feb 2010