CMS provides update on RACs

Tuesday, November 17, 2015

BALTIMORE – CMS has released requests for proposals for the next round of the recovery auditor contracts.

Until new contracts are awarded, CMS has indicated that the RACs may resume auditing activities, including sending additional documentation requests or ADRs, upon signing a contract modification. The modification allows the RACs to conduct these activities through July 31, 2016.

If a RAC chooses not to sign the modification, providers should note that Oct. 16, 2015, was the last day the RAC could send ADRs, and Dec. 31, 2015, will be the last day the RAC can send an improper payment file to the Medicare Administrative Contractor or MAC for adjustment.

The new RFPs are posted at the Federal Business Opportunity website,

CMS's attempts to name new RACs go back almost a year, thanks to disputes over changes to the contracts.

The disputes could also lead to a new contractor being named as the national RAC for HME, home health and hospice. Connolly was named that contractor in late 2014.