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Linda Collins Blogger

New RAC Auditor for Orthotics and Prosthetics

Posted by Linda Collins | November 04, 2016

This week, Medicare announced the new contracts for Recovery Audit Contractors (RACs). 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."

What does this mean for you?

The new Region 5, RAC will begin audits on DMEPOS claims. The other four RACs will focus on Part A/B claims only. The exact date they start is not clear. They will be required to post the issues they are auditing on their website (www.Performantrac.com).

You may read the full announcement here »

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