![The Center for Program Integrity The Center for Program Integrity](/sites/default/files/2024-06/hero-puzzle.jpg)
CPI
![The Center for Program Integrity The Center for Program Integrity](/sites/default/files/2024-06/hero-puzzle.jpg)
![The Center for Program Integrity The Center for Program Integrity](/sites/default/files/2024-06/mobile-hero-puzzle.jpg)
Our Mission Priorities
![Strengthen Medicare Advantage Oversight Strengthen Medicare Advantage Oversight](/sites/default/files/2024-06/strengthen-icon.jpg)
Strengthen our integrity programs related to Medicare Advantage enforcement and oversight
![Increase Medicaid Managed Care Oversight Increase Medicaid Managed Care Oversight](/sites/default/files/2024-06/increase-icon.jpg)
Expand the scope of our integrity programs related to Medicaid managed care enforcement and oversight
![Enhance Marketplace Agent/Broker Oversight Enhance Marketplace Agent/Broker Oversight](/sites/default/files/2024-06/enhance-icon.jpg)
Increase our integrity efforts related to problematic Marketplace agents/brokers
![Prioritize and Mitigate Top Vulnerabilities Prioritize and Mitigate Top Vulnerabilities](/sites/default/files/2024-06/prioritize-icon.jpg)
Prioritize and pursue mitigation strategies for the highest-priority program integrity vulnerabilities, while simultaneously improving the evaluation of any existing mitigation strategies
![Promote Excellence in Operations Promote Excellence in Operations](/sites/default/files/2024-06/promote-icon.jpg)
Foster a positive and inclusive hybrid workplace and workforce, while promoting excellence in all aspects of CPI’s operations
![Leverage Technology and Innovation Leverage Technology and Innovation](/sites/default/files/2024-06/leverage-icon.jpg)
Integrate artificial intelligence and other technological improvements to reduce fraud, waste and abuse, and streamline operations
- Related Pages
Help Improve the Program for Evaluating Payment Patterns Electronic Reports & Comparative Billing Reports
CMS seeks responses to a series of questions listed in the Request for Information (RFI) (PDF) and may use the information collected to make changes to the design of the program.
Responses are due on or before 08/19/2024 and must be provided via on-line submission at the following address:
[email protected].
- Provider Enrollment
CPI builds systems and manages programs to enroll providers in the Medicare and Medicaid programs.
- Medical Reviews & Audits
CPI oversees medical reviews and audits to safeguard the Medicare and Medicaid programs from fraud, waste and abuse.
- Data Analysis
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.
- Collaboration with States
CPI 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.
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