#Upic resources mac

They are looking to see if you are following what is in the LCD. What were the people like? What type of information did they ask for? What was it like being audited? My imagination conjures up stark figures in trench coats. Make sure you are following the guidelines set forth in it.

#Upic resources mac

Every MAC (Medicare Administrative Contractor) will have an LCD (Local Coverage Determinations) manual. The key to passing these audits is to keep your cool, have your policy and procedures up to date, and make sure your documentation will pass their review. They will ask you a lot of questions about your practice. The TPE audit occurred this May about 3 months after passing the UPIC.

You want to be prepared BEFORE they knock on your door. What advice would you give the practice owner who receives notice that they’re going to be audited? Most practice owners have not been audited by Medicare, let alone audited by both the UPIC and TPE within the same year. I’m thankful we had the systems in place to succeed like we did. The TPE audit scored 100 out of 100 possible points. Congratulations on your recent Medicare audit results! After successfully passing a three-month UPIC (Medicare Unified Program Integrity Contractor) audit, your network then underwent a subsequent TPE (Medicare Targeted Probe and Educate program) audit. TPE: Medicare Targeted Probe and Educate program

UPIC: Medicare Unified Program Integrity Contractor Interview The following acronyms are used throughout the interview: Scott owns practices in Delaware, Maryland, and Virginia, and just completed dual Medicare audits. Medicare Audit: Lessons Learned from Six Months of Scrutiny Interview with Scott Gardner, DPT and owner of FYZICAL Delmarva.