Robert W Liles

Robert W Liles's Legal Guides (5)

Washington, DC

Health care Lawyer at Washington, DC

Practice Areas: Health Care, White Collar Crime

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

Oct 30, 2011

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. Desp...

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

Apr 22, 2010

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 (Par...

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

Apr 12, 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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Provider's Rights During a Medicare Overpayment Audit

Feb 17, 2010

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

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RECOVERY AUDIT CONTRACTORS: AN EXPANDING CONCERN FOR HEALTH CARE PROVIDERS

Feb 17, 2010

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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