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Tag Archives: UPIC

Navigating the UPIC Investigation from a Compliance Consultant’s Perspective

ComplianceBy NAMASMay 20, 2022

  May 20, 2022 | By Toni Elhoms, CCS, CPC, CPMA, CRC Over the past year and a half, I have seen a significant increase in the volume of Unified Program Integrity Contractor (UPIC) investigations taking place in private physician practices.  UPICs work on behalf of CMS to perform program integrity functions like detecting fraud,…

FY 2020 Annual Report Breakdown: “The 2022 Impact”

Compliance, Legislative Action, News & EventsBy NAMASAugust 6, 2021

  August 6, 2021 | By Sean M. Weiss, CHC, CMCO, CEMA, CPMA, CPC-P, CMPE, CPC   2021 has lived up to what, in my mind, I’ve dubbed back in December of 2020 “The Year of The Audit”. The number of “raids”, resolution agreements, settlement agreements, and audits by RACs, SMRCs, UPICs, and SIUs have…

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