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Understanding CMS' Recent Program Integrity Initiatives: RACs, MACs, MICs, and ZPICs 

Wednesday, May 19, 2010
Co-sponsored by the Fraud and Abuse; Hospitals and Health Systems; In-House Counsel; Long Term Care, Senior Housing, In-Home Care, and Rehabilitation; Payors, Plans, and Managed Care; and Regulation, Accreditation, and Payment Practice Groups

Description

The Centers for Medicare & Medicaid Services (CMS) has recently implemented new and revised program integrity initiatives in an attempt to rein in inappropriate payment of claims by the Medicare and Medicaid programs. With the expansion of these provisions under the healthcare reform provisions enacted in March 2010, understanding these provisions is now critical for all providers, including Medicare Part D and Medicare Advantage programs and Medicaid providers. Listen to CMS regulators and industry counsel discuss the new legislative provisions, the agency's efforts, and the role that recovery audit contractors (RACs), Medicare administrative contractors (MACs), Medicaid integrity contractors (MICs), and zone program integrity contractors (ZPICs) are expected to play in this new era of increased program integrity activity.

Presenters

  • Kimberly Brandt, Esquire
    Director of Program Integrity Group
    Centers for Medicare & Medicaid Services, Baltimore, MD

  • Angela Brice-Smith, MPA, RN
    Director, Medicaid Integrity Group
    Centers for Medicare & Medicaid Services, Baltimore, MD

  • Andrew B. Wachler, Esquire
    Owner & Principal
    Wachler & Associates PC, Royal Oak, MI

Moderator

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