What Is the Responsibility of a Zone Program Integrity Contractor
Zone Program Integrity Contractors (Zpics)/Unified Program Integrity Contractors (Upics) Are Authorized to Conduct Invasive Audits on Behalf of the Centers for...
Zone Program Integrity Contractors (ZPICs)/Unified Program Integrity Contractors (UPICs) are authorized to conduct invasive audits on behalf of the Centers for Medicare and Medicaid Services (CMS), and they have broad powers to prevent payment of improperly billed amounts and recoup overpayments from Medicare- …
What is not a responsibility of a Zone Program Integrity Contractor?
ZPICs do not handle complaints, audit cost reports, or process claims. All medical and documentation review is specifically for the purpose of verifying benefit integrity.
What contractors are a part of the national group of Program Integrity Contractors?
- Medicare Administrative Contractors (MACs),
- Supplemental Medical Review Contractor (SMRC),
- Recovery Audit Contractors (RACs), and the.
- Comprehensive Error Rate Testing (CERT) Contractor.
Elena Rostova holds a Master's degree in Public Health Journalism. She covers groundbreaking medical research, holistic wellness trends, mental health awareness, and nutritional science.
