9/5/2023 0 Comments Upic cms award![]() ![]() The audits will ensure that Medicaid payments are. The company provides business-processing services nationwide with staff located throughout the country. At the direction of CMS, the NE UPIC (formerly the MIC) will Audit Medicaid providers throughout the country. Noridian has served as a government claims contractor for Medicare since the federal program's inception in 1966. Noridian Healthcare Solutions, LLC (Noridian), a wholly owned subsidiary of Noridian Mutual Insurance Company, delivers innovative business solutions for government agencies to reduce cost and enhance value in the health care industry. The company currently employs more than 1,700 individuals across the United States. In addition, Noridian supports claims processing for the Iowa Medicaid Program. Noridian holds five Medicare Administrative Contractor (MAC) contracts including the Part A/Part B contracts for Jurisdictions E and F, the Durable Medical Equipment (DME) contracts for Jurisdictions A and D and the national Pricing, Data Analysis and Coding contract. "Over the course of this 10-year contract, we look forward to working closely with the Centers for Program Integrity, state agencies and our partners to deliver proactive, innovative, and cost-effective services to help safeguard program dollars."īeginning with a single Medicare contract in 1966 serving Medicare beneficiaries only in North Dakota, today Noridian serves 12.4 million beneficiaries and 300,000 health care providers nationally. "Noridian is excited to have been selected by CMS on this important initiative to detect, prevent, and proactively deter fraud, waste, and abuse in the Medicare and Medicaid programs," said Albert Barclay, Noridian director of solutions delivery. This change improves CMS' capacity to swiftly anticipate and adapt to the ever changing and dynamic nature of those involved in health care fraud, waste, and abuse across the Medicare and Medicaid program integrity continuum. The program integrates audit, oversight and antifraud, waste and abuse activities for all government healthcare programs. This 10-year award is part of CMS' new $2.5 billion dollar initiative to combine and integrate existing CMS program integrity functions carried out by multiple contractors and contracts under the UPIC program. ![]()
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