CMS awards RAC contracts to Cotiviti
By HME News Staff
Updated 12:15 PM CDT, Wed June 4, 2025
WASHINGTON – CMS in April named Cotiviti GOV Services the new Recovery Audit Contractor (RAC) for Region 3, 4 and 5. These three contracts, awarded through a competitive procurement process, will support post-pay review of Medicare claims in these regions to efficiently identify and correct overpayments and underpayments made to health care providers with a focus on the quality, accuracy and transparency of reviews, the recovery of improper payments and the reduction of provider burden, Cotiviti says. “We are honored to continue our long-standing partnership with CMS by delivering our advanced technology, data analytics, and specialized expertise to support the RAC program, as well as continue to identify other opportunities to invest in our solutions and partnerships in the government market,” said Chris Coloian, executive vice president of Cotiviti, Inc. and general manager of Cotiviti GOV Services, LLC. In Region 3, which comprises eight states in the Southeast and two territories, and in Region 4, which comprises 17 states in the West and Mid-Atlantic, Washington, D.C., and three territories, Cotiviti is the incumbent contract holder. Performant, the RAC previously responsible for reviews in RAC Region 5, remains under contract with CMS to support the RAC program from an administrative and appeals perspective. In all the three regions, CMS anticipates Cotiviti will begin reviews in the summer.
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