Industry Notes:
Say Hello To Your New Fraud Contractor
Published on Wed Nov 18, 2009
New ZPIC starts Medicare program integrity functions in South. Don't be surprised if you start getting medical review requests from somebody new. AdvanceMed Corp. started operating as the Zone Program Integrity Contractor (ZPIC) Dec. 16, reports regional home health intermediaries Cahaba GBA and Palmetto GBA on their Web sites. CMS is transitioning fraud-fighting contractor functions over to ZPICs. AdvanceMed has been a Program Safeguard Contractor (PSC) since 2002. "As the ZPIC for Zone 5, AdvanceMed will perform benefit integrity activities aimed to reduce fraud, waste, and abuse," the intermediaries say. Rockville, Md.-based AdvanceMed's Zone 5 contract includes West Virginia, Virginia, North Carolina, South Carolina, Georgia, Alabama, Mississippi, Tennessee, Arkansas, and Louisiana. The ZPIC has offices in Nashville, Tenn., Richmond, Va., and Baltimore, Md. ZPICs in Zones 4 and 7 began operating earlier this year (see Eli's HCW, Vol. XVIII, No. 13, p. 99). In June, CMS issued its request for [...]
