![]() This includes any form of attack that discriminates based on identity or perpetuates harmful stereotypes. Keep things polite and be helpful and understanding, even if you disagree with someone. other related content, at moderator discretionĢ) No harassment, bigotry, or otherwise uncivil content.r/uichicago itself (memes, meta posts about the sub, etc).personal content or promotions by students of UIC or members of this community (rants about whatever, your friend's mixtape, etc).Chicago and the Chicagoland area, as it relates to students (nearby restaurants, fun activities, commuting, etc).UIC (including classes, faculty, student life, applications, financial aid, or other aspects of the school).Resources:ġ) All content must be related to UIC Posts here must relate to: Post here to share stories, meet friends, and find out what's up at UIC. UPICs are serious business and should not be taken lightly.Įlizabeth Hogue in an article called UPIC Audits: Recommendations from the Front Lines says it way better than we ever could.The University of Illinois at Chicago (UIC) Institute a provider payment suspension and.Identify the need for a prepayment or auto-denial edit.Conduct interviews with beneficiaries, complainants, or providers.Request medical records and documentation.In performing these functions, UPICs may, as appropriate: Refer cases to law enforcement to consider civil or criminal prosecution.leads, vulnerabilities, concepts, approaches) with other UPICs/ ZPICs to promote the goals of the program and the efficiency of operations at other contracts and Identify the need for administrative actions such as payment suspensions, prepayment or auto-denial edits, revocations, postpay overpayment determination.Perform data analysis in coordination with CPI's Fraud Prevention System, IDR and One PI.Perform medical review, as appropriate.Conduct investigations in accordance with the priorities established by CPI's Fraud Prevention System.Investigate potential fraud and abuse for CMS administrative action or referral to law enforcement.They also identify any improper payments that are to be recouped by the MAC (Medicare Administrative Contractor)." They develop investigations early, and in a timely manner, take immediate action to ensure Medicare Trust Fund monies are not inappropriately paid. "UPICs primary goal is to investigate instances of suspected fraud, waste, and abuse in Medicare or Medicaid claims. The UPICs and the MEDIC work under the direction of the Center for Program Integrity (CPI) in CMS." ( Noridian Website Quote)Īccording to CMS, CMS often receives referrals of potential improper payments from MACs, UPIC, and other investigative agencies. ![]() Medicare Part C and D program integrity efforts are handled separately by one national contractor known as the Medicare Drug Integrity Contractor (MEDIC). UPICs essentially identify monies that need to be recouped by the MACs.Īccording to Noridian, "UPICs were created to perform program integrity functions for Medicare Parts A, B, Durable Medical Equipment Prosthetics, Orthotics, and Supplies, Home Health and Hospice, Medicaid and Medicare-Medicaid data matching. A UPIC is a "United Program Integrity Contractor." That means, it is a contractor that is looking for improper payment (fraud) and the results can be devastating, even ruinous for home health and hospice agencies. ![]()
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