Zpic And Medical Review

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CMS Manual System - Centers for …

https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2018Downloads/R768PI.pdf

Zone Program Integrity Contractor (ZPIC) - CGS Medicare

https://www.cgsmedicare.com/hhh/medreview/zpic.html

Unified Program Integrity Contractor (UPIC) The goal of the UPIC is to identify cases of suspected fraud, investigate them, and take action to ensure any …

The Six Aspects of Understanding ZPIC Audits - The National Law Review

https://www.natlawreview.com/article/6-aspects-to-understanding-zpic-audits

ZPIC Audit / UPIC Audit Defense - Oberheiden P.C.

https://federal-lawyer.com/healthcare-defense/zpic-audit-defense-lawyers/

When the data identify a provider or business as a potential target for an audit, a ZPIC/UPIC will perform a medical review to determine whether recoupments or other penalties may …

Zone Program Integrity Contractor (ZPIC) Investigations …

https://www.lilesparker.com/zone-program-integrity-contractor-zpic-investigations-audits/

As CMS has described its role, the “ZPIC is responsible for preventing, detecting, and deterring fraud, waste and abuse in both the Medicare program and the …

What a ZPIC Audit Means for Your Medical …

https://verisys.com/what-a-zpic-audit-means-for-your-medical-practice/

What a ZPIC Audit Means for Your Medical Practice - Verisys ZPIC audits may sound intimidating and for good reason. During a Zone Program Integrity Contractor …

Medicare MACs, SMRC, UPIC/ZPIC, and RACs: Why Can’t You …

https://namas.co/medicare-macs-smrc-upic-zpic-and-racs-why-cant-you-just-comply/

Prepayment Review Time Frames When requesting documentation for prepayment review, the MAC and ZPIC shall notify providers that the requested …

Reviewing for Fraud: The Role of ZPICs

https://www.aapc.com/blog/28099-reviewing-for-fraud-the-role-of-zpics/

Healthcare fraud significantly affects federal expenditures, and ZPICs are here to investigate potential fraud and protect the Medicare trust funds. Kay Rankin, …

ZPIC Audit - Information & Resources

https://zpicaudit.org/

A ZPIC audit can be a scary and intimidating process. It might be tempting to ignore a request for documentation and just hope it goes away. But remember that ZPICs have an …

Review Contractor Directory - Interactive Map | CMS

https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Review-Contractor-Directory-Interactive-Map

The Review Contractor Directory - Interactive Map allows you to access state-specific CMS contractor contact information. You may receive correspondence from one …

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