Co-Founder
Robert Liles
Mr. Liles focuses his practice on fraud defense, internal audits/investigations, and compliance and regulatory matters. Mr. Liles has represented a wide variety of healthcare providers with administrative and civil proceedings and in connection with internal compliance reviews. He currently serves on the Advisory Panel for the Corporate Compliance Center for the South Texas College of Law. Mr. Liles has achieved an “AV” rating by Martindale-Hubbell, the highest rating that may be awarded to an attorney. He has also been rated “10.0” (out of a possible 10.0) by AVVO, a nationwide attorney rating service.
Articles by Robert
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How Does Artificial Intelligence Impact Your Obligation to Screen in a Timely Fashion?
Read more: How Does Artificial Intelligence Impact Your Obligation to Screen in a Timely Fashion?Artificial intelligence (AI) is changing the practical meaning of “knowingly”1 in health care compliance, not by rewriting the False Claims…
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Should Medicare and Medicaid Providers and Suppliers Screen Against the OFAC Sanction List?
Read more: Should Medicare and Medicaid Providers and Suppliers Screen Against the OFAC Sanction List?One question that is regularly asked by Exclusion Screening clients is whether a health care provider or supplier is required…
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Why is it Necessary to Screen the NPPES Registry Database?
Read more: Why is it Necessary to Screen the NPPES Registry Database?We are sometimes asked, “Why do you screen against the National Plan and Provider Enumeration System (NPPES).” That is a…
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Comparison between OIG Exclusion List and CMS Preclusion List
Read more: Comparison between OIG Exclusion List and CMS Preclusion ListSince the CMS Preclusion list was announced in April 2018, and then published in January 2019, there has been confusion…
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A Provider’s Guide to the GSA SAM Database.
Read more: A Provider’s Guide to the GSA SAM Database.Health care providers and suppliers should also screen the General Services Administration’s (GSA’s) System for Award Management (SAM) database to…
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About the Medi-Cal Suspended and Ineligible Provider List
Read more: About the Medi-Cal Suspended and Ineligible Provider ListCalifornia’s Medi-Cal Suspended and Ineligible Provider List is Designed to Safeguard Beneficiaries and Protect the Financial Integrity of the Medi-Cal…
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Why Should We Screen Against the Social Security Administration Death Master File?
Read more: Why Should We Screen Against the Social Security Administration Death Master File?At Exclusion Screening, we often receive questions about the scope and frequency of an organization’s screening duties and responsibilities. One…
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Resolving Exclusion Violations through the OIG Self-Disclosure Protocol
Read more: Resolving Exclusion Violations through the OIG Self-Disclosure ProtocolI. Introduction The Office of Inspector General (OIG) has the authority to exclude providers from participating in federal health care…
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Medicare / Medicaid Providers Beware: A Nolo Contendere Plea to a Non-Health Care Crime Can Still Result in Exclusion from Medicare
Read more: Medicare / Medicaid Providers Beware: A Nolo Contendere Plea to a Non-Health Care Crime Can Still Result in Exclusion from MedicareThe last two years have been rough for everyone, and it has been particularly difficult for health care providers and…
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The Proposed Expansion of CMS’ Revocation Authority Makes Monthly Exclusion Screening of ALL Employees More Important than Ever!
Read more: The Proposed Expansion of CMS’ Revocation Authority Makes Monthly Exclusion Screening of ALL Employees More Important than Ever!The Centers for Medicare and Medicaid Services (CMS)[1] is the Federal agency tasked with the overall responsibility of managing the…