Revenue Cycle

CMS hires RAC Validation Contractor

Recovery Auditor Report, October 16, 2008

CMS announced last week it selected Provider Resources, Inc, of Erie, PA, to work as the Recovery Audit Contractor (RAC) Validation Contractor.

The RAC Validation Contractor (RVC) will work with CMS and the RACs to approve new issues the RACs want to pursue for improper payments, as well as perform accuracy reviews on a sample of randomly selected claims on which the RACs have already collected overpayments, CMS said on its Web site.

Kimberly Anderwood Hoy, JD, CPC, director of Medicare and Compliance for HCPro, Inc., said this is one of the new elements of the permanent program. In addition, the contractors will create a Web site to post new topics the RACs are investigating.


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