Compliance

Five insider tips to prepare for a CMS UPIC audit

With fraud, waste, and abuse (FWA) accounting for up to 10% of healthcare expenditures, the Centers for Medicare & Medicaid Services (CMS) has ramped up audit efforts to ensure compliance. Among these, Unified Program Integrity Contractor (UPIC) audits stand out as one of the most rigorous and high-risk audits providers can face.

Failing a UPIC audit can lead to financial penalties, payment suspensions, and even exclusion from Medicare and Medicaid programs. To safeguard against these risks, healthcare providers must take proactive steps to ensure compliance.

Click here to read an article that I wrote in Compliance Today:  Five insider tips to prepare for a CMS UPIC audit | COSMOS Compliance Universe

Preparation is the key to protecting your organization from severe audit consequences. Stay proactive, stay compliant!

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