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WHO WE ARE

At the Center for Program Integrity (CPI), our mission is to detect and combat fraud, waste and abuse of the Medicare and Medicaid programs. We do this by making sure CMS is paying the right provider the right amount for services covered under our programs. We work with providers, states, and other stakeholders to support proper enrollment and accurate billing practices. Our work focuses on protecting patients while also minimizing unnecessary burden on providers.

See the complete list of CPI's Leadership Team.

CHECK OUT WHAT'S NEW

Stay up-to-date with the latest updates from CPI

WHO WE ARE

WHAT WE DO

  • PROVIDER ENROLLMENTCPI builds systems and manages programs to enroll providers in the Medicare and Medicaid programs.
  • MEDICAL REVIEWS & AUDITSCPI oversees medical reviews and audits to safeguard the Medicare and Medicaid programs from fraud, waste and abuse.
  • DATA ANALYSISUsing predictive analytics, we identify and seek to prevent fraud, waste and abuse. See an example of how data is used to understand the health care landscape with the Market Saturation and Utilization map.
  • COLLABORATION WITH STATESCPI offers support and venues for states to collaborate and share best fraud-fighting practices, making the Medicaid program stronger and protecting the care of states’ Medicaid populations.

OUR FOCUS IN 2018

CPI’s priorities in 2018 focus on investing in data and analytics to support fraud detection and prevention efforts, reducing burdensome documentation requirements for providers, and improving communication and collaboration with all our partners.

CONNECT WITH US

Connect with CPI as we host or attend various events throughout the year, join the conversation on Twitter around subjects that matter to all of us, or find the most appropriate vehicle to report suspected fraud, waste or abuse.

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