Healthcare Investors of the South Conference

I recently spoke at the HITS ((Healthcare Investors of the South) Conference in May, 2022, on Regulatory and Legislative Considerations For Healthcare Investors. Panelists: Chris Meekins |Managing Director, Washington Healthcare Policy, Raymond James Jon Rawlson |President and Founder, Amory Hill Advocates Jennifer Weaver |Healthcare Industry Partner, Holland & Knight (formerly Waller) Key Takeaways from the panel include: • Congress is …

hospice

Who is at risk for a UPIC Audit?

While every provider of the Medicare program is a candidate for an audit, typically, the UPIC audit selection is based on consumer complaints or data analysis. A consumer complaint comes from the company’s employees or the beneficiaries. Meanwhile, data analysis will search for a large number or mix of cases. Those cases will involve patients who’ve received hospice care, stayed in acute …

fraud and abuse audit

What is a UPIC (formerly ZPIC) Audit?

The Centers for Medicare and Medicaid Services (CMS) created the UPIC (formerly ZPIC) audit to identify and stop fraud and abuse in Medicare and Medicaid. The main goal of a UPIC is to help CMS: Find fraud, abuse, and waste Perform regional Medicare and Medicaid data analysis Complaint resolution Investigate suspected fraudulent activities The UPIC uses the above and additional techniques to …