CMS UPIC Audit Resource Hub

UPIC Audits, Explained: Your Go-To Resource Hub

An insider’s guide for navigating UPIC audit compliance and appeals with confidence.

Too many Medicare and Medicaid providers are blindsided by a Unified Program Integrity Contractor (UPIC) audit. These audits are high-stakes, time-intensive, and—unlike other routine compliance reviews—they come with serious consequences.

Imagine:
Suspended payments. Medicare recoupment and penalties in the millions. Years-long appeals cycles. Reputational harm. UPIC audits are a threat to your business and patient care.

Your UPIC Audit Resource Hub

This hub was built to help providers like you get ahead of the risk, understand your exposure, and respond with confidence.
Inside, you’ll find answers to questions like:

  • What is a UPIC audit?
  • Why are CMS UPIC audits different?
  • Who is at risk for a UPIC audit?
  • What happens when a UPIC audit is triggered?
  • How should you respond to a UPIC audit?
  • How can you prepare for a UPIC audit?
  • What resources and partners can help you navigate a UPIC audit?

Whether you’ve already received a UPIC audit notice or are simply freshening up your compliance strategy, this hub offers practical, easy-to-digest resources for every step of the journey.

Available Now:

 

RESOURCE

What is a UPIC audit?

[2 minute read]

A primer for staying UPIC audit-ready.

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CHECKLIST

Are you UPIC audit ready?

[2 minute read]

A handy checklist for evaluating your UPIC audit preparedness.

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ARTICLE

CMS UPIC Audits: Know Your Risk

[5 minute read]

Learn about red flags that auditors look for and how to be audit-ready.

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RESOURCE

How to Prepare for a UPIC Audit

[5 minute read]

Discover what you need to do before and after a UPIC audit is triggered

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COMPLIANCE TODAY GUIDE

5 Insider Tips to Prepare for a CMS UPIC Audit

[20 minute read]

Everything you need to know about the UPIC audit.

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COMPLIANCE PERSPECTIVES PODCAST

How to Prepare for a CMS UPIC Audit

[15 minute listen]

5 insider tips for successfully winning a UPIC audit appeal.

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ARTICLE

UPIC Audit Challenges & the Partner You Need

[5 minute read]

What to prep—and who to trust—when a UPIC audit hits.

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ARTICLE

How Partnering With a Lobbyist Can Help Shape Policy

[5 minute read]

What you can do to advance policies benefiting your organization.

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