Health Information Management

News: CMS announces permanent RAC contractors

CDI Strategies, October 16, 2008

Want to receive articles like this one in your inbox? Subscribe to CDI Strategies!

CMS announced the new Medicare Recovery Audit Contractors (RACs) for its permanent nationwide program Monday, October 6. The four contractors and their selected regions are:

  • Diversified Collection Services, Inc. of Livermore, CA: Region A, initially working in Maine, New Hampshire, Vermont, Massachusetts, Rhode Island and New York.
  • CGI Technologies and Solutions, Inc. of Fairfax, VA: Region B, initially working in Michigan, Indiana and Minnesota.
  • Connolly Consulting Associates, Inc. of Wilton, CT: Region C, initially working in South Carolina, Florida, Colorado and New Mexico.
  • HealthDataInsights (HDI), Inc. of Las Vegas, NV: Region D, initially working in Montana, Wyoming, North Dakota, South Dakota, Utah and Arizona.

CMS said it chose the contractors and their regions based on three values:

  • A “best value determination” that includes a strong technical approach and “exceptional” customer service
  • Conflict of interest reviews
  • Lowest contingency fee

 

Connolly and HDI worked on the initial RAC demonstration project that spanned over six states, collected more than $900 million in overpayments, and returned nearly $38 million in underpayments to healthcare providers, according to a CMS press release.

To read more about the RAC contractors, go to the CMS Web site.

 



Want to receive articles like this one in your inbox? Subscribe to CDI Strategies!

Comments

0 comments on “News: CMS announces permanent RAC contractors

 

Most Popular