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ZPIC Audits

Understanding the Importance of Professional Guidance

As a health care provider, there’s a lot that goes into preparing for and responding to Zone Program Integrity Contractors (ZPIC) audits. It’s a process that cannot be taken lightly because the potential consequences are too great. It’s important that you don’t make the mistake of trying to respond to a ZPIC audit on your own, but instead leverage the expertise of qualified counsel. This is especially important as it relates to understanding the function and goal of ZPICs as contractors of the Centers for Medicare and Medicaid Services (CMS).

Common Errors and Risks

There are often errors made during the process of health care providers trying to handle a ZPIC audit. Some of the dangers include responses that are either incomplete or inaccurate. The priority for your initial response should be accuracy and completeness, making sure appropriate explanations are provided where required or necessary. There have been many changes in related laws, which is just one of the many reasons why an experienced attorney should be involved in the audit.

ZPIC’s Role and Why Audits Happen

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Todd Spodek
ABOUT THE AUTHOR

Todd Spodek

Managing Partner

With decades of experience in high-stakes federal criminal defense, Todd Spodek has built a reputation for aggressive, strategic representation. Featured on Netflix's "Inventing Anna," he has successfully defended clients facing federal charges, white-collar allegations, and complex criminal cases in federal courts nationwide.

Bar Admissions: New York State Bar New Jersey State Bar U.S. District Court, SDNY U.S. District Court, EDNY
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