ZPICs

Inspector General blasts agency for ignoring ZPIC scrutiny

Inspector General blasts agency for ignoring ZPIC scrutiny

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Ignoring a four-year-old warning to more thoroughly evaluate Medicare auditing contractors is among the pile of unheeded advice that could have saved the Medicare program billions of dollars in recent years, the Health and Human Services' Office of Inspector General charged Tuesday.

CMS improperly measuring outcomes, report claims

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So far, some providers have been put through a wringer without enough verification that it's been worth it, according to a new Government Accountability Office report.

CMS fails to measure outcomes of the zone program integrity contractor program: government report

CMS fails to measure outcomes of the zone program integrity contractor program: government report

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The Centers for Medicare & Medicaid Services is not thoroughly assessing how well zone program integrity contractors are contributing to Medicare anti-fraud efforts, according to a new report from the Government Accountability Office.

'Serious' CMS oversight should compel providers to be duly vigilant about compliance, expert says

'Serious' CMS oversight should compel providers to be duly vigilant about compliance, expert says

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Skilled nursing providers should ratchet up Medicare Part A compliance initiatives to meet the increasingly intense scrutiny of the Centers for Medicare & Medicaid Services, a compliance expert said in a McKnight's Super Tuesday webcast. "CMS is serious about this," said Leah Klusch, executive director of The Alliance Training Center.

Power to the people? That could mean trouble

Power to the people? That could mean trouble

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There are plenty of legal concerns that keep nursing home administrators awake at night. Many times, the demons can be kept under the bed or locked in the closet. But not always.

Long-term care legal experts to gather at AHLA conference

Some of the sharpest legal minds and other major stakeholders in long-term care are gathering Feb. 25-27 for the "Long Term Care and the Law" conference in Austin, TX. McKnight's Editor James M. Berklan will deliver the keynote address at Monday's opening general session, which will be followed by a panel discussion on ZPICs featuring leaders from the Centers for Medicare & Medicaid Services. Case law, care transitions, payment issues, information technology and dozens of other hot topics will be the focus of educational sessions. Attorneys, providers and other professionals are invited to the event, which will be held at the Hilton Austin.

OIG: Medicare contractors, antipsychotics in SNFs to get a closer look

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The Medicare contractors keeping close tabs on long-term care facilities will be subject to oversight too, according to a federal working plan released this week.

OIG investigation raises conflict of interest concerns in ZPIC program

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Regulators need to be more aggressive in identifying conflicts of interest among Medicare's fraud-fighting Zone Program Integrity Contractors (ZPICs), a new government report recommends.

SNF rehab claims scrutinized more than ever, expert says

SNF rehab claims scrutinized more than ever, expert says

Nursing home administrators who can't substantiate every minute of rehab therapy delivered in their building leave themselves open to increasingly common audits and surveys, a top MDS 3.0 expert said Tuesday.

June Super Tuesday webcast focuses on auditing and integrity contractors

June Super Tuesday webcast focuses on auditing and integrity contractors

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Recovery audit contractors and Zone Program Integrity Contractors are a real part of long-term care providers' days now. To be prepared for them is the wise move. This webcast, originally recorded live on June 5, 2010, discusses how to cope with RACs and ZPICs, as well as other payment and policy issues. The featured presenter is Patricia Boyer, the president of Boyer and Associates and Ask the Expert columnist for McKnight's Long-Term Care News. The event will be archived for a year for free viewing.