CMS Looking at Combining ZPICs, MICs, Medi-Medi Audit Programs
Monday, July 15, 2013
by: VNAA Policy Team

Section: Quality and Educational Programming




The Centers for Medicare and Medicaid Services (CMS) are preparing a unified program integrity contract that would combine Zone Program Integrity Contractors (ZPIC), Medicaid Integrity Contractors (MIC) and Medicare-Medicaid data matching work. A draft of the new plan will be released on July 26. Any changes to the programs are expected to go through a long process.
 
Last year the Office of Inspector General (OIG) and the Government Accountability Office (GAO) released reports regarding the MIC program that showed a significantly poor return on investments from the program. From June of 2007 through February of 2012, MIC contractors cost $102 million and returned less than $20 million. CMS also announced last year that it would not renew three of the five MIC contracts and would instead work more collaboratively with states.
 
Earlier this year, VNAA met with both GAO and CMS to express concerns with the current auditing process. GAO specifically reached out to VNAA regarding auditors and will be publishing two Reports to Congress this year regarding their findings and providing specific suggestions for changes.

Read more about VNAA’s recommendations to GAO
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