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 House Committee Zeroes In On ZPIC Contractors

​The House Energy and Commerce Committee has asked three contractors paid to help root out Medicare and Medicaid fraud to explain themselves.

The committee has already asked for a Government Accountability Office probe of the Centers for Medicare & Medicaid Services anti-fraud efforts; now congressional members have asked SafeGuard Services, AdvancedMed, and Health Integrity for background information on their work.

In letters dated and made public on Friday, the committee leaders ask the contractors for:

1.) The number of investigations undertaken since 2007, including the number of law enforcement referrals, “the number of overpayments identified,” and “the number of new payment suspension requests,” according to the letters.
2.) “A description of the factors influencing annual variation in these data.”
3.) “Policies and procedures” for initiating fraud investigations, for referring them to law-enforcement, for describing overpayments, and “for new payment suspension requests,” the letter said.

The letter was signed by committee Chair Fred Upton (R-Mich.), Henry Waxman (D-Calif.), Cliff Stearns (R-Fla.), and Diana DeGette (R-Colo.).

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