The UPIC Audit Landscape: Legal Risk, Enforcement Trends, and Provider Impact (On-Demand Webinar)

Register

Date: 07/10/25

Closed captions are available.

Overview: UPIC audits are among CMS’ most aggressive tools for enforcing Medicare and Medicaid program integrity—and their prevalence, scope, and severity are growing. Often initiated through covert data analysis and conducted by contractors, these audits can result in multimillion dollar recoupments, payment suspensions, and even law enforcement referrals—all before a provider can respond or appeal. Yet, many providers and their counsel remain unprepared for what these investigations truly entail. Using real case examples, this webinar breaks down the full UPIC audit timeline, from data-driven targeting through the five-step appeals process. Speakers also offer strategies for building cross-functional response teams and spotting policy patterns that could reshape the future of CMS enforcement. Attendees will leave equipped to advise clients at every stage of a UPIC audit—from trigger through final appeal.

Learning Objectives: 

  • Understand the current UPIC audit landscape, enforcement trends, and due process challenges through real-world case examples.
  • Explore what makes UPIC compliance uniquely complex compared to routine audit adjudication.
  • Discover best practices for preparing, responding to, and defending against a UPIC audit.

Speaker Information:

Jon B. Rawlson, Founder & President, Armory Hill Advocates, LLC.

Jennifer Weaver, Partner, Holland & Knight

Continuing Education:

CLE: The maximum number of credits available for ON DEMAND is 1.0 for a 60-minute state and 1.2 for a 50-minute state. Please note that the availability of credits may vary from state to state.  This self-study course will be available for purchase for approximately one year after the recording date, but state rules on duration of eligibility for CLE-credits differ, so please check with your state before purchasing self-study offerings. 

CPE: CPE credits are not available for on-demand. 

CCB: The Compliance Certification Board (CCB)® has approved this event for up to 1.8 NON-LIVE CCB CEUs based on a 50-minute hour. Continuing Education Units are awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB of this event content or of the event sponsor. 

For additional information, please visit the AHLA Continuing Education page. 


Register