November 1, 2016

CMS Awards New RAC Contracts

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The Centers for Medicare & Medicaid Services (CMS) has awarded the next round of Medicare fee-for-service Recovery Audit Contractor (RAC) contracts to:

  • Region 1 Performant Recovery
  • Region 2 Cotiviti
  • Region 3 Cotiviti
  • Region 4 HMS Federal Solutions
  • Region 5 Performant Recovery

The RACs in Regions 1-4 will perform post-payment reviews to identify and correct Medicare claims that contain improper overpayments or underpayments that were made under Part A and Part B, for all provider types other than durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) and home health/hospice. The Region 5 RAC will be dedicated to the post-payment review of DMEPOS and home health/hospice claims nationally.

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