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Medicare Drug Integrity Contractor (MEDIC) An organization that the CMS has contracted with to perform specific program integrity functions for Part D under the Medicare Integrity Program. The MEDIC is CMSâ designee to manage CMSâ audit, oversight, and anti-fraud and abuse efforts in the Part D benefit.
To address health care fraud, Congress and CMS have developed a variety of approaches over the past several years to audit Medicare and Medicaid claims. The tables in this article summarize the major types of Medicare and Medicaid audits that could affect physicians.