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The Zone Program Integrity Contractor (ZPIC) is an entity established in the United States by the Centers for Medicare & Medicaid Services (CMS) to combat fraud, waste and abuse in the Medicare program.
Clinical documentation improvement (CDI), also known as "clinical documentation integrity", is the best practices, processes, technology, people, and joint effort between providers and billers that advocates the completeness, precision, and validity of provider documentation inherent to transaction code sets (e.g. ICD-10-CM, ICD-10-PCS, CPT, HCPCS) sanctioned by the Health Insurance ...
HCFA was renamed the Centers for Medicare and Medicaid Services on July 1, 2001. [9] [11] In 2013, a report by the inspector general found that CMS had paid $23 million in benefits to deceased beneficiaries in 2011. [12] In April 2014, CMS released raw claims data from 2012 that gave a look into what types of doctors billed Medicare the most. [13]
NonStop is a series of server computers introduced to market in 1976 by Tandem Computers Inc., [1] beginning with the NonStop product line. [2] It was followed by the Tandem Integrity NonStop line of lock-step fault-tolerant computers, now defunct (not to be confused with the later and much different Hewlett-Packard Integrity product line extension).
On the federal level the Office of Inspector General of the Department of Health and Human Services and the Department of Justice are usually involved, and on the state level, the state attorney general and the state offices involved in Medicaid or Medicare are involved. [1] CIA can be used to address quality of care [2] or corporate integrity ...
The benefits of a CMS/CMDB includes being able to perform functions like root cause analysis, impact analysis, change management, and current state assessment for future state strategy development. Configuration Management (CM) is an ITIL-specific ITSM process that tracks all of the individual CIs in an IT system which may be as simple as a ...
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