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Readying hospices for UPIC auditing

On Behalf of | Nov 18, 2022 | Health Law Attorneys

A Unified Program Integrity Contractor (UPIC) audit is an annual check of a hospice’s compliance with UPIC guidelines. Texas hospices preparing for an audit should have a plan to identify and correct deficiencies.

To prepare, hospices should review the UPIC guidelines, develop a process for documenting care and services, and create an incident report system. Hospices should also develop a team structure and communication plan, establish training requirements for staff members, and develop policies and procedures for handling patient data.

Quality assurance

Hospices can prepare themselves for an audit by implementing quality assurance programs that align with UPIC’s regulations. These programs can include:

  • Creating a procedure manual developing quality improvement plans
  • Instituting systemwide reviews
  • Implementing incident response procedures

To follow UPIC standards and hospice law , hospices must prepare for more audits. UPIC is an investigatory body contracted by the Centers for Medicare and Medicaid Services that evaluates hospices and clinics based on patient safety and quality measures. Hospices must undergo an audit to maintain their certification.

Tips for your UPIC audit

Preparing for an audit can be daunting, but it’s important to remember that the goal is to improve patient care. Following UPIC guidelines, hospices can ensure that their patients receive the best possible care. Here are some tips:

  • Have a plan for addressing any deficiencies identified during the audit.
  • Review your organizational policies and procedures related to patient care.
  • Make sure your staff is familiar with UPIC standards and guidelines.
  • Ensure all documentation related to patient care is up-to-date and accurate.
  • Train your staff on how to respond to questions from the auditors, and make sure they understand how to document their findings correctly.

Preparation is critical

Preparing for an audit is critical for any hospice looking to maintain compliance with Medicare regulations. However, by following a few simple tips, such as creating accurate records and ensuring proper management of financial resources, hospices can minimize the chances of failing.

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