Which of the following statements about ZPIC are true?

Study for the MCBC Medicare Exam. Use flashcards and multiple choice questions with hints and explanations. Ensure exam readiness with our comprehensive content!

ZPIC, or Zone Program Integrity Contractor, plays a crucial role in protecting Medicare from fraud, waste, and abuse. One of their primary functions includes conducting site visits of healthcare providers. This is essential in their efforts to ensure compliance with Medicare regulations and to investigate claims that may appear suspicious. Through these site visits, ZPIC can gather firsthand information, assess operations, and ensure that providers are adhering to the necessary standards and guidelines.

The focus on site visits allows ZPIC to effectively monitor and improve the integrity of the Medicare program by engaging with providers directly in their environments. This proactive approach is pivotal in maintaining the system's integrity and safeguarding against fraudulent activities.

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