[Audio] UPIC Audits
By EsqSocial Corporation 10/04/25
An audit by a Unified Program Integrity Contractor auditor, better known as a UPIC audit, can be a very scary thing. Healthcare providers are often shocked and even indignant to receive a letter notifying them of the audit and alleging fraud. Jon Rawlson, President & Founder of Armory Hill Advocates, reminds us that the audit was likely not triggered by an allegation but by an algorithm catching outlier events such as a provider processing claims outside of their normal daily work, utilizing a...
By: Health Care Compliance Association (HCCA)