Payment Matters: RACs Bark, ZPICs Bite


Please do not misunderstand. The Recovery Audit Contractors (RACs) are no teddy bears. However, more recently, the Zone Program Integrity Contractors (ZPICs) have been more active and causing more problems for Medicare providers and suppliers. There are several reasons why the ZPICs may be more worrisome than the RACs. Unlike the RACs, the ZPICs are tasked to identify Medicare fraud, waste, and abuse and may make referrals to other federal and state agencies. ZPICs may audit a statistical sample of post-payment claims and extrapolate the error rate to the full universe of claims to compute the overpayment amount...

Please see full alert below for more information.

LOADING PDF: If there are any problems, click here to download the file.

Published In: Administrative Agency Updates, Health Updates, Insurance Updates

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

© Ober|Kaler | Attorney Advertising

Don't miss a thing! Build a custom news brief:

Read fresh new writing on compliance, cybersecurity, Dodd-Frank, whistleblowers, social media, hiring & firing, patent reform, the NLRB, Obamacare, the SEC…

…or whatever matters the most to you. Follow authors, firms, and topics on JD Supra.

Create your news brief now - it's free and easy »