tci Part B Insider - 2010 Issue 40

Physician Notes: Intermediaries Won't Field ZPIC Questions

Plus: Feds bust organized crime Medicare fraud scheme.The lines may get blurry when it comes to ZPIC (Zone Program Integrity Contractors) requests for documentation, but don't expect help from your intermediary on the matter. "Although Palmetto GBA adjudicates claims once the review is complete, Palmetto GBA does not conduct the medical reviews requested by the ZPIC," the intermediary explains in a Zone Program Integrity Contractor update on its Web site."Since these reviews are being done by an entity other then Palmetto GBA, questions and correspondence related to the review and results of the review need to...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 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 Part B Insider +Archives

free demo
request yours today
pricing
for any budget
sign IN
welcome back!