Committee Leaders Ask for Information on ZPICS and MACs

Republican leaders from the House Energy and Commerce Committee have written a letter to the Centers for Medicare & Medicaid Services asking for information on oversight of two Medicare fraud contractor programs.

The congressional members want information from 2007 until present on the Zone Program Integrity Contractor (ZPIC) program and the Medicare Administrative Contractor (MAC) program.

The letter was sent after a Department of Health and Human Services Office of Inspector General released a report in November identifying flaws in CMS oversight of ZPICs. Two other OIG reports, in 2010 and 2007, also found flaws in the contractor programs.

The letter asked CMS to provide:
• Number of ZPIC investigations since 2007.
• Number of ZPIC referrals to law enforcement.
• Number of ZPIC provider suspensions.
• Amount of overpayments recovered by each MAC.
• Performance evaluations for each ZPIC.
• And CMS policies regarding ZPIC evaluations.