Compliance:
ZPICs START UP NEXT MONTH
Published on Fri Jan 09, 2009
Don't be surprised to receive program integrity-related requests from a new organization. Get used to seeing a new acronym regarding program integrity in the coming months -- and possibly new payment hassles. The first Zone Program Integrity Contractors (ZPICs) will be coming online shortly. Zone 7 ZPIC SafeGuard Services (SGS), which covers Florida, Puerto Rico, and the U.S. Virgin Islands, will be fully operational Feb. 1, says the contractor based in Miramar, Fla. ZPICs "will eventually be responsible for ensuring the integrity of all Medicare claims under Parts A and B (hospital, skilled nursing, home health provider, and durable medical equipment), Part C (Medicare Advantage health plans), Part D (prescription drug plans), and Medi-Medi (Medicare-Medicaid) data matches," SGS says on its Web site. SafeGuard is a subsidiary of Herndon, Va.-based EDS. ZPICs in seven zones will gradually take over program integrity functions from Program Safeguard Contractors (PSCs), the Centers for Medicare [...]