Tag Archives: ZPIC
Miami Patient Recruiter Found Guilty of Medicare Fraud
More Reports of ZPIC Activity in Louisiana
In case you weren’t already aware of this, using a ‘recruiter’ to find Medicare patients for a home health agency is fraud, both on the part of the recruiter and the agency. The story below goes into detail regarding a Miami man who was convicted. You can also read about five nurses who were convicted of fraud for falsifying records to defraud Medicare. These activities continue to be aggressively pursued by the US Attorney’s Office and their Health Care Fraud Prevention and Enforcement Action Team (HEAT). You can hear about their efforts, and more from US Attorney Corey Amundsen at HCLA’s Fall Leadership Summit. Continue reading
Zone Program Integrity Contractors now Active in Louisiana
ZPIC Audits Reach Louisiana The first news of ZPIC (Zone Program Integrity Contractor) activity in Louisiana came earlier this week. An in home provider organization received a request for 30 records, to be sent within 24 days. The records requested … Continue reading
‘ZPIC’ in Texas Asks Return of $2.9 million in Agency Overpayments
The Patient Protection and Affordable Care Act (PPACA), pronounced ‘PAKA’ by the folks with CMS, will have a transforming impact on healthcare. One of the more immediate challenges agencies is more layers of oversight. The current administration has allocated millions … Continue reading
