What are ZPIC audits primarily designed to do?

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ZPIC audits, or Zone Program Integrity Contractor audits, are primarily focused on identifying inconsistencies in provider billing practices. These audits serve as a crucial mechanism for ensuring compliance with Medicare regulations and preventing fraud, waste, and abuse within the healthcare system. ZPICs review billing records, documentation, and provider practices to detect any discrepancies, such as improper billing for services not rendered or incorrectly coded claims. By identifying these inconsistencies, ZPICs help maintain the integrity of the Medicare program and protect it from fraudulent activities. This focus is essential for safeguarding resources and ensuring that providers adhere to ethical billing practices, ultimately contributing to the overall integrity of the healthcare system. The other options relate to broader healthcare topics that are not the primary aim of ZPIC audits.

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