Monday, February 1, 2010

ZPIC Audit Updates

Dallas Texas --- TAHCS has established dialog with the
general counsel for Health Integrity LLC.
We are attempting in to determine how and why many of the
DME providers were placed on 100% prepayment audit before other
steps were taken as outlined in the program integrity manual.

Some providers are reporting more than 500 requests for audits in
a wide variety of equipment and supplies. One supplier was audited
after their claim was denied and no appeals requested.

There appears to be no common factor in the selection for audits
at this time. And these a "samplings" appear unusual due to the
numbers requested.

Generally speaking , statistically fewer audits
could be performed to accomplish the same goal.

If you have been audited we want to hear from you
via email at info@tahcs.org.
All information will be confidential
and not shared with anyone except TAHCS legal counsel.

If you need legal assitance contact TAHCS for
information.

TAHCS is here to help in any way possible.
Join TAHCS today by downloading the
membership application at www.tahcs.org.
Download the application and return it via
Fax today.

TAHCS - United we stand!

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