“The Centers for Medicare & Medicaid Services (CMS) has selected Qlarant (formerly Health Integrity, LLC) as a Unified Program Integrity Contractor (UPIC) to detect, prevent, and proactively deter fraud, waste, and abuse in Medicare and Medicaid Programs. This designation will allow Qlarant to perform functions to reduce fraud, waste, and abuse (FWA) in the Western and the Southwestern geographic area or ‘jurisdiction’.”
“Under CMS direction, Qlarant will perform various functions to detect, prevent, and deter specific risks to the integrity of the Medicare and Medicaid programs. These vulnerabilities may be a result of billing approaches, program changes, or innovations (e.g., use of electronic medical records). The UPICs are required to perform their work in compliance with all federal and state laws and regulations, CMS requirements, and Medicare and Medicaid manuals.” Read the full release here.
Source: CMS Selects Qlarant as a Unified Program Integrity Contractor to Detect, Prevent, and Deter Fraud, Waste, and Abuse in Medicare and Medicaid in 20 States – March 9, 2018. Global Newswire.