TriCenturion is a Program Safeguard Contractor (PSC) under contract with the Centers for Medicare & Medicaid Services (CMS) to perform selected Medicare program integrity tasks.
TriCenturion performs all Medicare Program Integrity functions for DME Jurisdiction A. 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 Contractor (MAC) National Heritage Insurance Company (NHIC), which continues to perform program management functions for the jurisdiction. TriCenturion began the Jurisdiction A workload in this contract on May 1, 2001.