TriCenturion is a Program Safeguard Contractor (PSC) under contract with the Centers for Medicare & Medicaid Services (CMS) to perform selected Medicare program integrity functions. Currently, TriCenturion is working on the following contracts:
TriCenturion performs all Medicare Program Integrity functions for DME Jurisdictions A and B. These functions include fraud investigations, prepay and post-pay medical review of claims, and data analysis. In this contract, TriCenturion works closely with Medicare Affiliated Contractors (MACs) National Heritage Insurance Company (NHIC) for Jurisdiction A and National Government Services (NGS) for Jurisdiction B. They continue to perform program management functions for the jurisdictions. To support this work, TriCenturion has offices in Columbia, South Carolina, and Palm Harbor, Florida. TriCenturion began the Jurisdiction A workload in this contract on May 1, 2001, and added the Jurisdiction B workload on March 1, 2006.