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


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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 “integrity” function is intended to ensure that both CMS and the providers that bill Medicare achieve fair outcomes. However, as “fee for service” contractors working with CMS, ZPICs are only financially incentivized to identify overpayments and seek recoupments, and this means that ZPIC audits usually only focus on determining whether these contractors can lodge accusations o ....

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Richard Pusey: Man Who Filmed Dying Officers Gets 10 Months in Prison


Published Apr 29, 2021   Updated Apr 29, 2021, 12:34 pm CDT
Australian man Richard Pusey was sentenced to 10 months in jail after being convicted of “outraging public decency” when he filmed four dying officers following a crash last year.
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The sentence sparked immediate public outrage among people who considered it too lenient, Australia’s Nine News reports.
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The 42-year-old Pusey was pulled over last year for speeding down a highway in his Porsche. As four Victoria police officers prepared his arrest, the driver of a semi-trailer swerved out of its lane and struck all four of them.
Pusey, who was several feet away from the others, was not struck. He did remain on the scene of the accident for several minutes, however, filming one of the officers in her final moments. ....

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