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 identify Medicare and Medicaid program weaknesses and vulnerabilities.