tci Part B Insider - 2010 Issue 32

In other news...

Keep your eye on ZPICs, as their audits may be more liable to close your doors than any other Medicare contractor's.That's because the Zone Program Integrity Contractors are authorized to use statistical sampling to identify overpayments from providers. That means millions of dollars in overpayment demands can come from a relatively small sample of claims. "Zone Program Integrity Contractors (formerly Program Safeguard Contractors) are organizations hired indirectly (or in connection with other CMS affiliated contractors) by CMS to perform a wide range of medical review, data analysis and Medicare evidence-based policy auditing activities," notes ZPIC consulting firm...

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