“The Centers for Medicare and Medicaid Services (“CMS”) healthcare audit programs – including the Unified Program Integrity Contractors (“UPICs”) audit program, the Recovery Audit Contractor (“RAC”) program, the Comprehensive Error Rate Testing (“CERT”) program, etc. – have been the subject of regular complaints and calls-for-action by the Medicare/Medicaid provider community for many years.”
“In significant part, the provider complaints have focused on CMS’s lack of oversight over the activities of CMS’s third-party audit contractors – UPICs, RACs, etc. – and the improper audit procedures utilized by such auditors which often produce unsupportable audit adjustments and, in turn, significant hardship for providers. For example…” Read the full article here.
Source: Recent Activity in Medicare Audit Programs: CMS Announces Increase in Audit Contractor Oversight – By Kenneth Yood, Samuel Gilkeson and Melissa Gertler – May 29, 2019. Sheppard Mullin.
