May 23, 2013 – CMS Announces a Revised Recovery Audit Program Map

On May 9th, the Centers for Medicare and Medicaid Services (CMS) announced the start of a procurement process for new Medicare Fee for Service Recovery Audit Program contracts. The General Services Administration issued a Request for Quotes (RFQ) seeking four A/B Recovery Auditors, one national Durable Medical Equipment auditor and one Home Health/Hospice Recovery Auditor.

On May 23rd, the CMS announced that it has completed the next step in the transition process by creating a new Recovery Audit Program map with revised jurisdictions. To see the revised map, click here.

The current RACs will continue to function throughout the transition. CMS advised that beginning in Summer 2013, there may be a decline in Additional Documentation Requests (ADRs). However, all prepayment reviews and post-payment manual therapy reviews will continue without decline.

For more information about the Recovery Audit / RAC program, contact Jessica Gustafson, Esq. or Abby Pendleton, Esq., at (248) 996-8510.