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ZPIC Audits: What Healthcare Providers Need to Know | Oberheiden P.C. - Vimarsana News

ZPIC Audits: What Healthcare Providers Need to Know | Oberheiden P.C.

To embed, copy and paste the code into your website or blog: Zone Program Integrity Contractors (ZPICs) are federal contractors that work under the direction of the Centers for Medicare and Medicaid Services (CMS) to uncover fraudulent billings under Medicare. ZPICs have broad authority to conduct audits of Medicare-participating healthcare providers; and, following audits, ZPICs can directly impose sanctions and/or refer providers to CMS or the U.S. Department of Justice for further enforcement action. Technically, ZPICs are tasked with identifying both overpayments and underpayments. Their...