Center for Program Integrity
Protecting the Medicare & Medicaid Programs from Fraud, Waste, and Abuse
Learn about the Open Payments program, promoting transparency of the $12.59 billion in payments made to providers and hospitals in 2022.
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.
Meet CPI’s Leadership Team and view our Functional Statement.
What We Do
CPI builds systems and manages programs to enroll providers in the Medicare and Medicaid programs.
Using 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.
Stay Up to Date with CPI
Connect with CPI as we host or attend various events throughout the year, join our mailing list to stay informed on Program Integrity news, or find the most appropriate vehicle to report suspected fraud, waste, or abuse.