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Industry Notes:

ANOTHER FRAUD CONTRACTOR MAKES DEBUT

Published on Wed Apr 01, 2009

CMS names third ZPIC. Medicare is nearly halfway done naming its new fraud-fighting contractors. The third Zone Program Integrity Contractor (ZPIC), Rockville, Md.-based AdvanceMed Corp., will cover Zone 5: West Virginia, Virginia,North Carolina, South Carolina, Georgia, Alabama,Mississippi, Tennessee, Arkansas, and Louisiana. AdvanceMed is currently a Program Safeguard Contractor for 15 states and is a wholly owned subsidiary of Computer Sciences Corp. Background: The Centers forMedicare & Medicaid Services is awarding ZPIC contracts in seven zones. ZPICs will take over PSCs' program integrity functions. CMS already has announced the contracts for zones four and seven and the contractors have begun operating (see Eli's HCW, Vol.XVIII, No. 13, p. 99). Last month, CMS issued a draft of its final solicitation for the remaining ZPICs in zones 3 (Minnesota, Wisconsin, Illinois, Michigan, Ohio,and Kentucky) and 6 (Pennsylvania, New York,Maryland, DC, Delaware, Maine, Massachusetts,New Jersey, Connecticut, Rhode Island, New Hampshire, and Vermont), according to [...]
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