Mr. Liles’ background is somewhat unique. In addition to a law degree, he holds both an MS in Health Care Administration and an MBA. He also holds certifications in compliance and coding. Robert has worked on the provider side, as a Federal prosecutor and now represents health care providers and suppliers around the country in connection with Medicare, Medicaid, and private payor audits and investigations. While working as a Federal prosecutor, he was asked to serve as the country's first "National Health Care Fraud Coordinator" for the DOJ’s, Executive Office for U.S. Attorneys. In this capacity, he advised prosecutors around the country regarding health care fraud statutes, schemes, investigative tools, privacy concerns, and compliance issues. Since entering private practice, Robert has continued to build on his health care background and experience. Robert has been rated “AV” 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 and a "10.0" by Justia.
- South Texas College of Law
- J.D.
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- Trinity University
- Master's in Health Care Admin. | Health Care Admin.
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- Trinity University
- MBA | Management
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- University of the South
- B.A. | Economics
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- Managing Partner
- Liles Parker, Attorneys & Counselors at Law
- - Current
- My practice has consistently been focused on health care fraud defense and regulatory matters. Currently represent a wide variety of health care providers around the country in State Medical Board matters, administrative, regulatory, civil and criminal proceedings. I advise physicians, group practices, pain management clinics, home health agencies, hospices, durable medical equipment suppliers, therapy companies and third-party billing companies in government and private payor audits and investigations. Our firm has extensive experience handling overpayment appeals involving UPIC, SRMC and RAC contractors working for CMS. I serve as outside General Counsel for the American Medical Billing Association. Provide assessment and advice to health care corporate clients on proposed business models, addressing both Stark and Federal Anti-Kickback Act concerns.
- Partner
- Martyn Liles
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- Represented a wide variety of health care providers in administrative and civil proceedings. Worked with corporate clients to develop and implement compliance programs. Represented physicians in connection with state medical board disciplinary proceedings. Represented health care providers in connection with administrative audits. Defended corporate clients against alleged violations of the False Claims Act.
- Senior Counsel
- Jenkins & Gilchrist
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- Represented individual and corporate health care clients in various complex civil and criminal proceedings. Successfully obtained complete declinations in connection with three separate qui tam suits.
- Deputy Director, Legal Programs -- Executive Office for U.S. Attorneys
- U.S. Department of Justice
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- Prior to serving in Washington, DC, worked as an Assistant United States Attorney in the Southern District of Texas, Houston office, where primarily handled False Claims Act matters and cases. Subsequently appointed as Chief of the Financial Litigation Unit for the Southern District of Texas. Detailed in 1997 to the Executive Office for United States Attorneys in Washington, DC as its first National Health Care Fraud Coordinator. In this capacity, advised Assistant United States Attorneys around the country on civil and criminal health care fraud statutes, fraud schemes, investigative tools, medical records privacy concerns, and other health care fraud issues. Instrumental in implementing DOJ guidance on use of the False Claims Act in civil health care matters
- "Legal and Regulatory Challenges Currently Facing Diabetes Treatment Providers and Related Durable Medical Equipment Suppliers"
- Journal of Diabetes Science and Technology
- “Overview of Sober Home and Recovery Residence Fraud Enforcement Efforts.”, Recovery Out Loud, Dearborn, Michigan
- National Alliance for Recovery Residences
- “Rendering, Supervising, Billing, But Who is Really Credentialed?”, 15th Annual NAMAS Conference, Charleston, South Carolina
- National Alliance of Medical Auditing Specialists (NAMAS)
- "Current Audit Climate", MedTrade Expo + Conference, Dallas, Texas
- MedTrade
- Certified Professional Coder (CPC)
- American Association of Professional Coders (AAPC)
- AV Preeminent Rated Attorney 5.0 out of 5.0
- Martindale Hubbell
- Named "Legal Editor" for the "Fraud and Abuse Answer Book"
- DecisionHealth
- Named Outside General Counsel
- American Medical Billing Association
- District of Columbia Bar
- Member
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- American Health Lawyers Association
- Member
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- Texas State Bar
- Member
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- District of Columbia
- District of Columbia Bar
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- Texas
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- Free Consultation
- Credit Cards Accepted
- Health Care Law
- Spanish: Spoken, Written
- Website
- Website
TCG with Robert Liles and Paul Widenfeld