UPIC

All posts tagged UPIC

Anatomy of an Audit

by admin on February 26, 2020 No comments

auditFlorida Healthcare Law Firm Attorney Karina Gonzalez will provide this complimentary lunch n’ learn session for attendees interested in furthering their understanding of audit procedures. She will walk attendees through the anatomy of an audit, from initial correspondence and response to prep and potential onsite pitfalls and beyond. This is a can’t miss!

Audits in healthcare are designed to positively impact patient care but can be very disruptive and costly for medical practices. The best way to  protects your healthcare business from an audit is to understand the root causes and improve processes from the inside of an organization to the out. From ZPIC audits to UPIC audits, and everything in between, this webinar is designed to educate with practical guidance.

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Law Enforcement Referrals by UPICs

by admin on March 26, 2019 No comments

UPIC investigatorBy: Matt Fischer

CMS contractors such as Unified Program Integrity Contractors (UPICs) are tasked with ensuring that Medicare pays the right amount for covered services by legitimate providers.  Specifically, a UPIC’s main goal is to identify cases of suspected fraud, waste and abuse, and additionally, to take immediate administrative action to protect federal program funds.  Within its administrative action toolkit, apart from the common pre- or post-payment reviews and payment suspensions, UPICs have the ability to refer cases of potential fraud to law enforcement agencies.

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