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Provider Site Visits

PATIEntThe Centers for Medicare and Medicaid Services (CMS) is pursuing an aggressive National Fraud Prevention Program (NFPP) to prevent fraudulent transactions from occurring in the Medicare program.

To fulfill the goals of this program, Health Integrity and our sub-contractors conduct scheduled, unscheduled, and unannounced site visits to new providers and suppliers to prevent questionable providers and suppliers from enrolling in the Medicare program.

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  • National Benefit Integrity Medicare Drug Integrity Contractor (NBI MEDIC)
  • Audit Medicaid Integrity Contract (Audit MIC)
  • Zone Program Integrity Contractor—Zone 4 (ZPIC 4)
  • Zone Program Integrity Contractor—Zone 2 (ZPIC 2)
  • Predictive Modeling Development Task Order
  • Compliance Audits
  • Provider Site Visits

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Services

  • Data Analysis
  • Investigations
  • Provider/Supplier Site Visit Verification
  • Auditing
  • Medical Review and Analysis
  • Biometrics

Contracts

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  • Audit MIC
  • ZPIC 4
  • ZPIC 2
  • Predictive Modeling Development Task Order
  • Compliance Audits
  • Provider Site Visits
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