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Oncology Research
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RAC Audit
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Continued from page 8 can promptly address correspondence from them. CMS has awarded FFS RAC contracts to the following organizations:
Region 1: Performant Recovery, Inc.
Region 2: Performant Recovery, Inc.
Region 3: Cotiviti, LLC
Region 4: Cotiviti GOV Services
Region 5: Performant Recovery, Inc.
The RAC auditor for Region 5 has a national contract to perform audits of durable medical equipment, prosthetics, orthotics, and supplies claims, as well as home health and hospice claims.
CMS provides Medicare FFS RAC contact information and a map outlining the regional division of states. What Does the RAC Review?
The RAC, which reviews claims on a post-payment basis paid within the past three years, conducts three types of reviews:
• Automated—no medical record needed.
• Semi-automated—claims review using data and potential human review of a medical record or other documentation.
• Complex—medical record required.
CMS provides a sortable list of RAC
