Workload data used by CMS to oversee Zone Program Integrity Contractors has been inaccurate and inconsistent, and this has led to several ZPIC reporting errors and inconsistencies within information ...

CMS is gathering information for and seeking industry feedback on a project that would consolidate the audit and investigation services for Medicare and Medicaid integrity functions, creating new ...

The RAC program is just one of the CMS programs designed to ramp up "benefit integrity" efforts and to otherwise preserve or recoup cash for the trust fund. Providers must be aware of all the alphabet ...

CMS has announced it is consolidating its efforts with new program-integrity contractors that will look at billing trends and patterns across Medicare. These contractors will focus on companies and ...

In a series of communications to HHS and the Centers for Medicare and Medicaid Services (CMS) in October, U.S. Sen. Chuck Grassley, the ranking member of the Senate Finance Committee, which holds ...