Tag: Cotiviti GOV Services
Cotiviti takes cautious approach to new audits
December 12, 2025Liz Beaulieu, Editor
SOUTH JORDAN, Utah – Cotiviti, the new Recovery Audit Contractor (RAC) for Regions 3, 4 and 5, recently received approval from the Centers for Medicare and Medicaid Services (CMS) to launch five durable medical equipment (DME)-related audits. But industry experts say the contractor is taking a cautious approach before moving forward.
Cotiviti, which was awarded the contract in April, now has the green light to audit...
New RAC announces five DMEPOS-related audits
October 14, 2025HME News Staff
WASHINGTON - CMS has officially approved five DMEPOS-related audit projects under the new Medicare Recovery Audit Contractor (RAC), Cotiviti GOV Services, according to a bulletin from AAHomecare.
Cotiviti was awarded the contract for Regions 3, 4 and 5 in April. It is the contractor’s first time overseeing Medicare DMEPOS RAC reviews.
The new projects include:
Immunosuppressive drugs
Medical necessity and documentation requirements – A complex...
CMS awards RAC contracts to Cotiviti
June 4, 2025HME News Staff
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...