Responding to UPIC Audits

Published by Niki McCormick on

Lashly & Baer, P.C. attorney Michael R. Barth provides an overview of the United Program Integrity Contractor (UPIC) audit response process. There are five separate geographic jurisdictions for UPICs, and CoventBridge is the Midwestern UPIC that includes both Missouri and Illinois. UPICs such as CoventBridge are private contractors monitoring both Medicare and Medicaid programs from fraud, waste, and abuse. For the purposes of this article, Barth focuses on responding to a letter from your UPIC contractor, such as CoventBridge. This is a non-exhaustive list and a simplified overview of a very complex process. Responding to UPIC audits is becoming more frequent and you need to be prepared. Please contact Michael R. Barth or another member of the Health Care Advisory Team for more information about this process.

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