tci Medicare Compliance & Reimbursement - 2022 Issue Q4

Audits: Pocket These Legal Tips to Protect Yourself Against UPIC Reviews

Don’t ignore the nuances and complexities of UPIC audits. If the possibility of a Unified Program Integrity Contractor (UPIC) review isn’t on your radar, it should be. These audits are invasive, carrying oftentimes catastrophic consequences for the provider under review — and a new HHS Office of Inspector General (OIG) report suggests investigations are on the rise. Background: In a review of UPIC activity, the OIG found “wide unexplained disparities in program integrity activities across UPICs, even after adjusting for the size of their respective oversight responsibilities,” according to the report, “UPICs Hold Promise...

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