MAC Audits vs. UPIC Audits: What Medical Professionals Need to Know
Medicare’s program integrity framework relies on multiple layers of auditing activity. For most providers, the two audit types most likely to affect day-to-day operations are those conducted by Medicare Administrative Contractors (MACs) and Unified Program Integrity Contractors (UPICs). Though both are federal audit mechanisms operating under the authority of the Centers for Medicare & Medicaid […]
How Do I Respond to a UPIC Audit Request?
A UPIC audit is an investigation focused on uncovering healthcare fraud. From handling unannounced site visits to understanding the dangers of statistical extrapolation, this guide details the critical steps you must take to protect your practice from payment suspensions and federal prosecution.