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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 (

You may read the full announcement here »

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