CMS Awarded New Medicare Recovery Audit Contractors (RAC)

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Stethoscope with financial statement

The Centers for Medicare & Medicaid Services announced its new Medicare Recovery Audit Contractors. Three contractors will perform post-payment review of Part A and B Medicare fee-for-service claims for all provider types other than home health/hospice and Durable Medical Equipment, Prosthetics, Orthotics and Supplies: Performant Recovery Inc. in Region 1, Cotivit LLC in Regions 2 and 3, and HMS Federal Solutions in Region 4. See Map.

Region 1 – Performant Recovery, Inc.
Region 2 – Cotiviti, LLC
Region 3 – Cotiviti, LLC
Region 4 – HMS Federal Solutions (South Dakota)
Region 5 – Performant Recovery, Inc.

In addition, Performant Recovery will perform post-payment review of home Health/Hospice and DMEPOS claims nationally. See Map. CMS last year announced enhancements to the RAC program, some of which could not be implemented until the new contracts were awarded such as reduce provider burden, enhance program oversight and increase transparency.