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Recovery Audit Contractors

Recovery Audit Contractors

Overview of the Recovery Audit Contractors (RACs)

National Conference Call on RACs

On May 12, 2010, CMS hosted a conference call on the permanent program for the RACs.

Recovery Audit Contractor Program Update

In October 2008, CMS announced the award of contracts to four national recovery audit contractors, or RACs.  Those contract awards were protested and a stop work order was put in place.  Consequently, the implementation of the national RAC program was put on hold until the protests could be resolved.  The protests were resolved on February 6, 2009.  The settlement of the protests means that CMS will now continue with the implementation of the national RAC program.
The national RACs were selected under a full and open competition process.  As announced in October2008, the new RACs are:  

  • Diversified Collection Services, Inc. (DCS) of Livermore, California, in Region A, working in Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont. 
  • CGI Technologies and Solutions, Inc. of Fairfax, Virginia, in Region B, initially working in Michigan, Indiana and Minnesota.
  • Connolly Consulting Associates, Inc. of Wilton, Connecticut, in Region C, initially working in Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississipi, North Carolina, New Mexico, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia and the territories of Puerto Rico and U.S. Virgin Islands.
  • HealthDataInsights, Inc. (HDI) of Las Vegas, Nevada, in Region D, working in Alaska, Arizona, California, Hawaii, Iowa, Idaho, Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming, Guam, American Samoa, and Northern Marianas.

Comment Letters

Academy Expresses Concern Regarding CMS' Proposed Rule for Recovering Overpayments in Medicare (4/19/2012)

The Academy signed onto two letters, one led by the American Medical Association and another led by the American College of Surgeons, outlining concerns with the proposed rule issues earlier in the spring by the Centers for Medicare and Medicaid Services (CMS). The rule outlines a 10-year look back period for recovering overpayments made by Medicare. The Academy strongly opposes this due to the extreme administrative burden this would impose on members. The AMA Letter. The ACS Letter

Academy sends letter to CMS regarding the RACs

In March 2009, the Academy as well as the AMA and other medical specialty societies wrote a joint letter  to the Centers for Medicare and Medicaid Services (CMS) to address our reservations on the permanent Recovery Audit Contractors (RACs). CMS responded on July 1, 2009.

Page Last Updated on June 8th, 2012