Question

which authorizes cms to enter into contracts with entities to perform cost report auditing, medical review, anti - fraud activities, and the medicare secondary payer (msp) program?
o a. zpic
o b. mip
o c. hpmp
o d. mac

Explanation:

• ZPIC (Zone Program Integrity Contractor): ZPICs are contracted by CMS to perform activities such as cost - report auditing, medical review, anti - fraud activities, and work related to the Medicare Secondary Payer (MSP) program.
• MIP (Medicare Improvement Program): This is not a standard entity that specifically focuses on the mentioned auditing, review, and anti - fraud activities in the context of CMS contracting.
• HPMP (Healthcare Provider Management Program): This is not a recognized entity for the described CMS - contracted functions.
• MAC (Medicare Administrative Contractor): MACs mainly handle claims processing and other administrative tasks related to Medicare benefits, not the comprehensive auditing, review, and anti - fraud work as described.

Answer:

a. ZPIC