tci ED Coding & Reimbursement Alert - 2012 Issue 4

Compliance Update: Bone Up on Your Regional ZPIC's Functions And Stay Out of Trouble

Do you understand how this extra layer of investigation fits in the overall program integrity picture?CMS is clearly delineating for ED providers and their billing agents the statutory mandate, mission, purpose and goals of the Zone Program Integrity Contractors (ZPICs) -- and if you're not up to speed, you're heading for audit troubles. The ZPICs replaced the entities known as the "Program Safeguard Contractors", says Ed Gaines, JD, CCP Chief Compliance Officer for Medical Management Professionals, Inc, in Greensboro, NC.The main focus of a ZPIC is detecting, preventing and referring potential cases of Medicare fraud, waste and/or...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.


You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.