This week, CMS announced five new contracts for Medicare’s recovery audit contractor (RAC) program. CMS states the new contracts were designed to reduce provider burden, enhance program oversight, and increase transparency within the RAC program. Coverage for the regions is as follows:
Region 1: Performant Recovery, Inc.
Region 2: Cotiviti, LLC
Region 3, Cotiviti, LLC
Region 4: HMS Federal Solutions
Region 5: Performant Recovery, Inc.
RACs in Regions 1-4 will perform post-payment reviews on Medicare claims believed to contain improper payments (both over- and under-payments) that were made under Parts A and B for all provider types. The Region 5 RAC will conduct a national post-payment review of DMEPOS and Home Health/Hospice claims. The agency plans to provide more information on when RAC audits will resume as they implement the new contracts…………..(source: Medical Group Management Association, 11/2/16)