CMS taps Performant for nat’l RAC for DME

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Wednesday, November 2, 2016

WASHINGTON – CMS has tapped Performant Recovery to perform post-payment reviews of Medicare claims for DMEPOS and home health/hospice nationwide.

The other RACs awarded contracts will perform post-payment reviews to identify and correct Medicare claims that contain improper payments that were made under Part A and Part B for all provider types other than DMEPOS. Performant Recovery also won that contract for Region 1. Cotiviti won contracts for Region 2 and 3, and HMS Federal Solutions won a contract for Region 4.

CMS planned to have new RACs in place in 2014, but several of its awards were contested.

CMS announced in 2015 that it had tapped Connolly as the national RAC for DME.

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