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Unified Program Integrity Contractors

On June 5, 2015 a presoliciation notice was issued by the Centers for Medicare and Medicaid Services (CMS) indicating that they will be issuing a Request for Proposal (RFP) to solicit services for the Unified Program Integrity Contractor (UPIC). The UPIC will combine and integrate existing CMS program integrity functions carried out by multiple contractors and contracts into a single contractor.

As a result, UPICs will perform many of the functions currently contracted to ZPICs and MICs. For CMS integrity contractors, this consolidation will result in more data and knowledge about healthcare claims and payments. For the provider community, this will mean increased and improved surveillance as well as the potential for more government scrutiny of claims payments by federal healthcare programs. To learn more about CMS’s intentions around the creation of the UPIC, click here

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