October 31, 2016

Breaking News: CMS Awards New RAC Contracts

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The Centers for Medicare & Medicaid Services (CMS) has awarded its long-awaited and highly anticipated new round of contracts for the Medicare Fee-for-Service Recovery Audit Contractors (RACs).

CMS posted the news on its website late Monday afternoon. The agency identified the awarding of contracts to the following:

  • Region 1 – Performant Recovery, Inc.
  • Region 2 – Cotiviti, LLC
  • Region 3 – Cotiviti, LLC
  • Region 4 – HMS Federal Solutions
  • Region 5 – Performant Recovery, Inc.

“The RACs in Regions 1-4 will perform post-payment review to identify and correct Medicare claims that contain improper payments (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,” CMS said on its website. “The Region 5 RAC will be dedicated to the post-payment review of DMEPOS and Home Health/Hospice claims nationally.”

Program Note: Listen to a special 60-minute of Monitor Mondays on Nov 7, 10 a.m. ET for more details on this developing story. Register to listen.

About the Author

Chuck Buck is the publisher of RACmonitor and the executive producer and program host of Monitor Mondays. 

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cbuck@panaceainc.com

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Chuck Buck

Chuck Buck is the publisher of RACmonitor and is the program host and executive producer of Monitor Monday.

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