TPEs and UPICs: The new CMS Audit Strategy

Medicare has implemented the new Targeted Probe and Educate (TPE) audit program as well as the Unified Program Integrity Contractor (UPIC) program in the last year. While the intent of these programs may have been to improve and streamline the audit process, there still remains a number of inconsistencies and concerns that could lead to significant problems for a supplier. This presentation, led by well-known industry expert and former auditor, Wayne van Halem, will provide attendees with an explanation of these new programs and include a discussion of some of the issues that may arise if you are undergoing one of these audits. Furthermore, it will include recommendations on how to react if some of these issues arise.

Objectives:

  1. Identify key components and procedures in the TPE and UPIC audit process
  2. Identify some current issues and concerns related to TPE and UPIC audits
  3. Identify ways in which a supplier can respond to specific actions taken in a TPE and UPIC audit

Duration: 1 hour
Registration: $99 for access to the on-demand version of this event

Register Today!

Webcast Access
All registrants will have access to the on-demand version of this webcast which will be available until November 29, 2018.


Only $99 to access the on-demand version of the event!

Register Today!

Wayne van HalemAbout our Presenter
As president and founder of audit consulting firm The van Halem Group LLC, a division of the VGM Group Inc., Wayne van Halem came to the home medical equipment industry with 11 years’ experience working within Medicare’s anti-fraud infrastructure. He worked as a Medicare fraud analyst; Medicare Fraud Information Specialist; a fraud investigator and then supervisor within Medicare’s Program Safeguard Contractors for Jurisdictions A and B; and finally as director of DME appeals, nationally, and Part B appeals for the western region of the country. Now van Halem and his team of ex-Medicare experts leverage their insider expertise to help providers navigate CMS’s often maddening pre- and post-payment audit and appeals process.