Zone Program Integrity Contractor: Difference between revisions
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The '''Zone Program Integrity Contractor (ZPIC)''' is an entity established in the United States by the [[Centers for Medicare & Medicaid Services]] (CMS) to combat fraud, waste and abuse in the [[Medicare (United States)|Medicare]] program. As a result of the [[Medicare Prescription Drug, Improvement, and Modernization Act]] of 2003, which established seven zones throughout the United States for the purpose of processing Medicare claims, CMS created ZPICs to more effectively protect the Medicare program.<ref>{{cite web |title=MLM Matters |url=https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnmattersarticles/downloads/se1204.pdf |publisher=US DHHS | |
The '''Zone Program Integrity Contractor (ZPIC)''' is an entity established in the United States by the [[Centers for Medicare & Medicaid Services]] (CMS) to combat fraud, waste and abuse in the [[Medicare (United States)|Medicare]] program. As a result of the [[Medicare Prescription Drug, Improvement, and Modernization Act]] of 2003, which established seven zones throughout the United States for the purpose of processing Medicare claims, CMS created ZPICs to more effectively protect the Medicare program.<ref>{{cite web |title=MLM Matters |url=https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnmattersarticles/downloads/se1204.pdf |publisher=US DHHS |access-date=8 November 2020}}</ref> ZPICs replaced Program Safeguard Contractors (PSC), which had been established by the [[Health Insurance Portability and Accountability Act of 1996]].<ref>{{cite web |title=ZONEPROGRAM INTEGRITY CONTRACTORS’DATA ISSUES HINDER EFFECTIVE OVERSIGHT |url=https://oig.hhs.gov/oei/reports/oei-03-09-00520.pdf |publisher=US DHHS |access-date=8 November 2020}}</ref> |
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== References == |
== References == |
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Revision as of 07:16, 21 January 2021
The Zone Program Integrity Contractor (ZPIC) is an entity established in the United States by the Centers for Medicare & Medicaid Services (CMS) to combat fraud, waste and abuse in the Medicare program. As a result of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, which established seven zones throughout the United States for the purpose of processing Medicare claims, CMS created ZPICs to more effectively protect the Medicare program.[1] ZPICs replaced Program Safeguard Contractors (PSC), which had been established by the Health Insurance Portability and Accountability Act of 1996.[2]
References
- ^ "MLM Matters" (PDF). US DHHS. Retrieved 8 November 2020.
- ^ "ZONEPROGRAM INTEGRITY CONTRACTORS'DATA ISSUES HINDER EFFECTIVE OVERSIGHT" (PDF). US DHHS. Retrieved 8 November 2020.
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