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Which CMS program was created to review billing trends and patterns, focusing on providers whose
billing for Medicare services are higher than the majority of providers in the community?
Ans: ZPIC
The __________ protects patients and federal healthcare programs from fraud and abuse by curtailing
the corrupting influence of money on healthcare decisions
Ans: Federal Anti-Kickback Law
The ________ mandates the retention of patient records and health insurance claims for a minimum of
six years, unless state law specifies a longer period
Ans: HIPAA
The __________ is the person responsible for paying the charges.
Ans: guarantor
EDI is the abbreviation for electronic data interface.
True or False?