tci Medicare Compliance & Reimbursement - 2013 Issue 1

Audits: Audit Strategies Boost Your ZPIC Audit Preparedness -- And Confidence

Apply these tips and be ready when auditors come knocking. Audits and compliance issues are old worries for healthcare providers. With Zone Program Integrity Contractor auditors homing in on potential fraud, you need to be certain that your documentation and coding are airtight. ZPIC audits tend to closely follow the target areas identified in the OIG’s Work Plan -- which isn’t good news for your practice. The OIG’s recently released 2013 Work Plan indicated that it would focus on E/M payments, incident-to services, and other hot-button issues, which means ZPIC audits could expand in scope and...

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