Sarah Mendiola, Esq., Linda Fotheringill, Esq., Fotheringill & Wade, LLC While the provider community has been focusing on combating denials from the RACs and MACs, audits by the Zone Program Integrity Contractors (ZPICs) have been quietly recovering hundreds of millions of dollars in identified overpayments. If you talk to a provider who has been involved in a ZPIC audit, you will quickly realize that this type of audit can be devastating in its impact. This paper explains why the ZPIC is not your typical Medicare auditor and what a provider can do to potentially minimize the impact of a ZPIC audit on their organization. Issue: ZPICs are looking for "fraud [...]The post Zone (Program Integrity Contractor) Defense: Successfully Navigating ZPIC Audits appeared first on Fotheringill & Wade, LLC.
