There is a growing number of Florida Medicare home health agencies that are receiving notices from a Zone Program Integrity Contractor (ZPIC) stating that they are being investigated for a wide range of things, from waste, to abuse or even Medicare fraud. They have been instructed that their patient records will be reviewed and their claims payments could be reversed, as well as fines will be assessed. We are learning that this is becoming common-place across our nation.
In looking for a cause for this activity, it has been found that as high as 80% of agencies still have no understanding of Medicare’s Conditions of Payment. For more information regarding this issue, click here.