![]() ![]() MaOn March 24, 2022, CMS awarded Performant Recovery, Inc., the new Recovery Audit Contractor (RAC) Region 2 contract. Review Type (complex review / automated review).States / MAC regions where reviews will occur.These topics will be updated monthly on the RAC reviews topic page and include: Stay in the know on proposed and approved topics that RACs are able to review. Region 5 RAC will be dedicated to review of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Home Health / Hospice What Topics do RACs Review? Nationwide for in Regions 1-4 will perform post payment review to identify and correct Medicare claims specific to Part A and Part B. Virgin 4ĪK, AZ, CA, DC, DE, HI, ID, MD, MT, ND, NJ, NV, OR, PA, SD, UT, WA, WY, Guam, American Samoa and Northern A: 1-87 For more information regarding ADRs, please visit: Who are Recovery Audit Contractors? Recovery Audit Contractors RegionĬT, IN, KY, MA, ME, MI, NH, NY, OH, RI, and 2ĪR, CO, IA, IL, KS, LA, MO, MN, MS, NE, NM, OK, TX, and 3ĪL, FL, GA, NC, SC, TN, VA, WV, Puerto Rico and U.S. In order to obtain the medical record and any supporting documentation, the RAC shall issue an Additional Documentation Request (ADR). Automated reviews occur at the system level while complex reviews require a qualified individual to review the medical record. ![]() The RACs conduct both complex and automated post-payment reviews. What does a Recovery Audit Contractor (RAC) do? The Medicare Fee for Service (FFS) Recovery Audit Program’s mission is to identify and correct Medicare improper payments through the efficient detection and collection of overpayments made on claims of health care services provided to Medicare beneficiaries, and the identification of underpayments to providers so that the CMS can implement actions that will prevent future improper payments in all 50 states. For updates regarding Medicare Fee-For-Service (FFS) medical review during the 2019-Novel Coronavirus (COVID-19) Public Health Emergency (PHE), please visit: (PDF).ĭo you have questions or concerns about the Recovery Audit Program? Please e-mail us at Please Do Not send Personal Health Information to this e-mail address. ![]()
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