Monday, August 30, 2010

Medicare ZPIC audit report for Medisoft

We recently had a Medisoft customer that was contacted by a Medicare representative regarding a ZPIC audit. Apparently these ZPIC audits are being randomly performed by Medicare in some states. This particular customer was a medical imaging practice that manages their billing using the Medisoft software.

The Medicare representative was very specific in his request for data from this customer and gave them 15 days to produce the data that he wanted to see. Unfortunately for our customer the report to provide the data that was requested was not a standard report in Medisoft, nor was it a particularly easy report to create. Fortunatley for our customer, at Medical Software Tools our staff does have the expertise to create a variety of custom reports like this one.

Interestingly enough, because this was the first time I had heard of the ZPIC audits I called one of our other customers who stays pretty up to date with industry changes and he didn't know anything about these ZPIC audits either.

My research indicates that CMS has created new entities entitled Zone Program Integrity Contractors (ZPICs). The Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA) changed CMS’ contracting structure by phasing out the fiscal intermediaries and carriers while creating the Medicare Administrative Contractors (MAC) for Medicare claims processing. This resulted in seven zones that have been created based on the newly established MAC jurisdictions.

Do you need a Medicare ZPIC audit report created for Medisoft? Whether you need a Medisoft custom report for a Medicare audit or for any reason please give us a call. Because we have already created this particular ZPIC report in Medisoft we can provide it to a Medisoft user for only $99. Show us or tell us what you need and we will be glad to give you an exact quote to create the Medisoft custom report to remedy your particular headache.

Taking the pain out of technology is what we do.

Mark Beans
1-813-471-1996
Medical Software Tools
http://www.MedicalSoftwareTools.com/

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