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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 program. As a result of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, which established seven zones throughout the United ...
The Office of Inspector General (OIG) for the United States Department of Health and Human Services (HHS) is responsible for oversight of the United States Department of Health and Human Service 's approximately $2.4 trillion portfolio of programs. Approximately 1,650 auditors, investigators, and evaluators, supplemented by staff with expertise ...
Website. www.cms.gov. The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance ...
If you want to confirm you’re following Medicare procedures to the letter, you can contact Medicare directly at 800-MEDICARE (800-633-4227 or TTY: 877-486-2048). What is inpatient rehabilitation ...
The Medicare-approved amount is the amount that Medicare pays your healthcare professional for your services under Part B. If you’re enrolled in a Medicare plan, you may have come across the ...
Medicare is a health insurance program for people ages 65 and older, as well as those with certain health conditions and disabilities. It has four parts. Each part covers different healthcare ...
The American Cancer Society says to get tested at age: 40 or 45 if you’re at high risk; 50 if you’re at average risk; The American Urological Association suggestions on the basis of age:
Clinical documentation improvement (CDI), also known as "clinical documentation integrity", is the best practices, processes, technology, people, and joint effort between providers and billers that advocates the completeness, precision, and validity of provider documentation inherent to transaction code sets (e.g. ICD-10-CM, ICD-10-PCS, CPT, HCPCS) sanctioned by the Health Insurance ...