Like unwanted mushrooms bursting forth from your lawn, the Zone Program Integrity Contractors (ZPICs) appear to be on steroids. Their audits are aggressive disruptors in the vast auditing landscape in which providers continue to provide care and bill for the services they provide. In fact, the recent uptick in their audit activities is in the Medicaid arena. UPICs— the Centers for Medicare & Medicaid Services (CMS) contractors tasked with integrating program integrity functions for audits and investigations across both Medicare and Medicaid—are now coordinating and performing more Medicaid audits.
During the next live edition of Monitor Mondays, prominent healthcare attorney Andrew Wachler, the managing partner of Wachler and Associates, will be reporting on the ZPIC audits he is encountering while offering steps providers and suppliers can take to protect their reimbursement from recoupment.
Other segments will include these instantly recognizable broadcast segments: