Zone Program Integrity Contractors

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Product Description:

Audio Conference on CD or Audio On-Demand

Sponsored by The Revenue Cycle Institute

A program for compliance, audit, and legal professionals

presented on November 3, 2009

There's a new government auditing entity that may come knocking on your door. Are you ready for ZPICs?

ZPICS—Zone Program Integrity Contractors—are part of the government's overhaul of the Medicare program, and they are looking for cases of fraud and abuse. Their audits are in addition to the scrutiny paid to coding issues by recovery audit contractors (RACS) and a host of other agencies that are charged with recovering inappropriate healthcare payments. Penalties can range from civil (monetary) to criminal, and can involve the OIG if the charges are substantial.

Why take chances? This 90-minute audio conference helps you understand what ZPICs are looking for, what authority they have to audit your organization, and what you should do in response to a negative finding. Our speakers are healthcare attorneys and compliance experts who will give you practical tips to minimize your risk and avoid a ZPIC audit.

NOTE: This is an intermediate-level program. You should have a general familiarity with Medicare, the Medicare payment system, and fraud and abuse laws, particularly Stark and anti-kickback statues.

LEARNING OBJECTIVES

At the conclusion of this audio conference, you will be able to:

  • Explain who the ZPICs are, their authority, and the focus of their audits
  • Describe what ZPIC reviews and audits look like and what they include
  • Indicate how ZPICs differ from other auditing agencies such as Recovery Audit Contractors (RACs)
  • Share practical tips on how to respond to a ZPIC review and reduce your risk of being subjected to one

TAKE A LOOK AT THE AGENDA:

  1. Zone Program Integrity Contractor defined
    1. Evolution from Program Safeguard Contractors (PSC) to ZPICs
    2. Who are the ZPICs?
  2. Authority and responsibility
    1. Discussion of ZPICs legal authority
    2. Fraud and abuse focus of ZPIC reviews
    3. Medicare programs reviewed by ZPICs
  3. ZPIC reviews
    1. What triggers a ZPIC review
    2. What a ZPIC review entails
    3. Possible outcomes/consequences of a review
    4. Appealing the ZPIC findings
  4. How ZPICs differ from RACs, MACs, MICs and other auditing agencies
    1. Discussion of different responsibilities and duties of each agency
    2. Can providers be simultaneously audited by more than one agency?
  5. How to respond to a ZPIC review
    1. Provider’s legal obligations
    2. Asserting defenses and laying a foundation for future actions
  6. How to avoid a ZPIC review

A question and answer session follows the presentation.

MATERIALS

In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials and

  • Excerpt from Medicare Program Integrity Manual
  • Summary and diagram of auditing agencies

These materials are provided with PDF links.

MEET THE SPEAKERS

David D. Storey, Esq., is an attorney with Baker & Daniels, LLP, in Fort Wayne, IN.  He concentrates his practice representing clients in health care compliance investigations, False Claims Act litigation and disputes involving Medicare/Medicaid issues, the Anti-Kickback Statute and Stark Law. 

Robert A. Wade, Esq., is a partner at Baker and Daniels, LLP in South Bend, IN. He concentrates his practice in representing healthcare clients and represents clients on the Stark Act, Anti-Kickback Statute, False Claims Act, and Emergency Medical Treatment and Active Labor Act.

WHO SHOULD LISTEN?

Compliance auditors, in-house counsel, healthcare attorneys, privacy and security officers, and healthcare administrators.

AUDIO ON-DEMAND

In addition to the regular purchase options for HCPro audio conferences, we are pleased to offer another option, audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or audio on-demand of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
Save money when you purchase multiple copies! Ask your customer service representative about money-saving discounts and bulk orders. Call toll free 800-650-6787 or e-mail customerservice@hcpro.com.
Publisher :  HCPro, Inc
 
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