As a result, CMS developed the concept of the UPIC auditors. Fiscal Years 2014-2018," (the Plan), the HHS Secretary established a comprehensive plan for ensuring the program integrity of the Medicaid program. In the CMS issued document, “Comprehensive Medicaid Integrity Plan. ![]() ![]() These efforts have historically been fragmented. One of the stated purposes of the UPICs is to facilitate the streamlining of and hence “unify," efforts of government healthcare program contractors who are auditing providers, for the purpose of identifying billing practices that could be alleged as fraud waste or abuse. Health Integrity, LLC was awarded the UPIC contract for the South-Western jurisdiction. In this regard, CMS recently awarded UPIC contracts in five geographically defined jurisdictions. In a relatively recent development, the Unified Program Integrity Contractor (UPIC) is one type of entity that providers will begin to see and hear more from, as the existing Zone Program Integrity Contractors (ZPICs) are replaced by the UPICs. The prudent provider is always aware that the government has a bevy of resources, including contracted audit review companies, to facilitate audits of providers, and associated overpayment refund demands. ![]() In particular, the significant increase in government healthcare program audit activity over the last 10 to 15 years has created additional uncertainty and risk in the healthcare industry. It is no secret that there are extensive challenges facing healthcare providers in today’s regulatory environment. Published in Arkansas Medical News (March/April)
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |