Navigating UPIC Audits in Remote Patient Care & CCM

At Nsight Health, we know that compliance can sometimes feel like a maze, but don’t worry—we’re here to help you navigate it with confidence. With Medicare increasing oversight through Unified Program Integrity Contractor (UPIC) audits, we want to assure our providers that these audits are simply part of the process, and we’re here to guide you every step of the way.

What Are UPIC Audits?

UPIC audits are conducted by contractors hired by the Centers for Medicare & Medicaid Services (CMS) to keep an eye on fraud, waste, and abuse in Medicare and Medicaid programs. These reviews ensure that services—such as Remote Patient Monitoring (RPM) and Chronic Care Management (CCM)—are billed correctly, medically necessary, and compliant with program rules. With RPM and CCM growing rapidly, it’s natural for Medicare to take a closer look to ensure these services are being used appropriately.

We’ve Got Your Back

At Nsight Health, we don’t just check compliance boxes—we work alongside our providers to ensure they’re prepared and supported throughout any audit process. Here’s how we help:

• Keeping Documentation Rock-Solid – We make sure every patient interaction and service is properly recorded so you’re always audit-ready.
• Ensuring Medical Necessity – Every service we support is backed by strong clinical reasoning, so there’s no second-guessing.
• Helping You Stay on Track with Billing – We follow CMS guidelines closely and provide guidance to help you avoid errors, duplicate claims, or billing mishaps.

Audits? No Problem!

Let’s be honest—no one loves an audit. But UPIC audits don’t have to be stressful when you have the right partner. These reviews aren’t about pointing fingers; they’re about ensuring Medicare programs stay strong and effective. And with Nsight Health in your corner, you can feel confident that you’re meeting all compliance standards while continuing to provide high-quality patient care.

If you have any questions or just want to chat about best practices for RPM and CCM services, we’re always here to help. Think of us as your compliance co-pilot—we’ll get through this together!

To learn more about RPM devices and CCM through Nsight, click HERE to schedule a demo today. Whether you are a patient or provider looking to learn more about RPM, we would love to hear from you.