ZPIC

Will Another Bounty Hunter Be Conducting Medicare Audits?

Medicare, Medicaid & Private Payor Updates /

(March 25, 2010): Yesterday, the White House announced that President Obama intends to back additional bipartisan plans to stamp out waste in government-run medical programs for the elderly and needy. The White House said this new effort, which is being called nothing more than another bounty hunter program by its critics, is intended to root […]

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Is a ZPIC Tougher than a RAC or PSC When Conducting Medicare Audits?

Medicare, Medicaid & Private Payor Updates /

(March 25, 2010): The Recovery Audit Contractor (RAC) program is an integral part of the Centers for Medicare & Medicaid Services’ (CMS’) “benefit integrity” efforts which seek to identify and recoup alleged overpayments paid to Medicare providers. Similarly, Program SafeGuard Contractors (PSCs) have been actively auditing Medicare providers and suppliers around the country. While the

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Texas ZPIC Audits in Texas are Increasing – Is There a New Sheriff in Town?

Medicare, Medicaid & Private Payor Updates /

(March 16, 2010): Health care providers around the country are finding themselves the target of various audits from jurisdictionally overlapping Medicare contractors. Notably, any of these audits have the potential to destroy a provider’s practice or clinic. States where PSCs (Program Safeguard Contractors) have transitioned to ZPICs (Zone Program Integrity Contractors) are under extreme pressure.

Texas ZPIC Audits in Texas are Increasing – Is There a New Sheriff in Town? Read More »