Medicare Integrity Program / Medicare Integrity Program

Article Overview

This article explains the Medicare Integrity Program as a federal program created under HIPAA and administered through HHS contracting. It outlines the types of integrity-related activities that may be performed by outside vendors, the agencies involved in oversight and enforcement, and the relationship between these contractors and traditional Medicare administrative entities. The content is useful for readers who work in Medicare compliance, auditing, reimbursement integrity, or healthcare administration.