The Centers for Medicare & Medicaid Services has announced the awarding of the next round of Medicare Fee-for-service recovery audit contractor (RAC) contracts.

The Medicare Recovery Audit Program’s mission is to identify and correct improper Medicare medical billing payments through the detection and collection of overpayments made on claims of healthcare services provided to Medicare beneficiaries, and the identification of underpayments to providers so that the CMS can implement actions that will prevent future improper payments.

The new RAC contracts were awarded to:

  • Region 1 — Performant Recovery
  • Region 2 — Cotiviti
  • Region 3 — Cotiviti
  • Region 4 — HMS Federal Solutions
  • Region 5 — Performant Recovery

The RACs in Regions 1-4 will perform postpayment review to identify and correct Medicare claims that contain improper payments (overpayments or underpayments) that were made under Part A and Part B, for all provider types other than durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) and home health/hospice.

The Region 5 RAC will be dedicated to the postpayment review of DMEPOS and home health/hospice claims nationally.