How to Prepare for a ZPIC Audit

If you’re facing a ZPIC audit, you probably aren’t prepared. Many people think if they aren’t doing anything wrong, they don’t have to worry about an audit. However, most health care organizations come under scrutiny at some point or another whether it’s because of fraud or even a small error. As a result, it’s important to prepare for an audit even if you don’t think you will ever face one. Here are a few ways you can prepare for auditing and protect your practice and staff.

Have Legal Counsel on Hand

One of the best ways to prepare for an audit is to be ready with an experienced attorney to support you in the case of any legal problem, including ZPIC audits. If you do have an audit, you can arrange to have your attorney with you during the auditing process. Good legal counsel can have your back in stressful times and help you retain your rights throughout the process.

Have a Compliance Plan

According to the Affordable Care Act, medical providers should create a Compliance Program adhering to government regulations. If you don’t yet have one in place, it’s important that you set it up as soon as possible. Review your documents and requirements, implement the program, and make sure your staff understands and complies with the program once established.

Keep Documents Up to Date

Make sure your documents are all up to date, including all records, licenses, and certificates you have for your practice. Keeping everything legitimate, updated, and honest can save you from future complications. You can make a better impression with an auditor by showing that you are organized, with all your information correct, and ready when needed.


Verify with the Auditors

If you ever do end up scheduled for a ZPIC audit, it is important to contact the audit team as soon as possible. Make sure to confirm the date and time of the audit, as well as provide them with any necessary preliminary information about the location.

Be Prepared to Tell the Truth

When dealing with auditors, giving misinformation can be a dangerous road to take. Rather than risk getting caught in a lie or withholding information, be completely honest with the auditors. Give truthful information when you are asked a question. If you don’t have the answer, it’s safer to admit to it rather than make a guess. This is an area your attorney can help you with, even before you speak with the auditor.

The auditing process can be long and nerve-wracking for medical providers. However, with some careful planning and extra effort, some of that tension can be eased. Despite the pressures of business and legal matters, you can protect your practice and your staff by making the most of it.

Experienced ZPIC Audit Attorneys

Don’t make the ZPIC audit more difficult for yourself and your business than it needs to be. You don’t have to navigate the process alone. If you are being audited or need help with an appeal, contact the attorneys at Oberheiden, P.C. at (888) 727-5159 or complete our online contact form today.