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...

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