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Provider Resources for the Medicare Recovery Audit Program

Updates, resources, and contact information for providers.

Welcome to Performant's New Provider Resources Section

Here you'll find the latest information for the Medicare Fee for Service (FFS) Recovery Audit Program for Regions 1 and 5, including access to helpful resources to assist you in working with Performant.

Our commitment is to deliver a best-in-class customer experience and minimize unnecessary burden to you during the course of our work. We focus on providing a collaborative and data-driven approach to continuously improve our auditing practices while reducing disruption.

If you have questions or would like to learn more about the CMS program, we’re here to help. Talk with one of friendly customer service specialists today.

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Access your claim review status, update your contact information, and more.

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General Program Updates

Most Recent Update: July 17, 2017

Get ready, get set…the new, enhanced Performant RAC website will be released soon!  The website will look different but it contains the same content as the previous website, with just a new and enhanced look and feel.  We believe you will find it easier to locate the information you’re seeking.  Once it launches, if you need any assistance navigating the new website, please call Customer Service and they will guide you.

Most Recent Update: April 25, 2017

Dear DMEPOS Suppliers, it has come to our attention that Noridian for MAC Jurisdiction D, between March 15, 2017 and April 21, 2017 inadvertently mailed 3,647 initial demand letters to DMEPOS Suppliers which incorrectly identified Performant as the applicable review contractor for claims related to the Comprehensive Error Rate Testing (CERT) audit process.  Noridian has corrected the incorrect reference as of April 24, 2017 and will be mailing out updated letters to the affected suppliers over the next week.

Please note, Performant is not the applicable review contractor for these CERT audits and is not involved in any way with these claims.  Providers should contact Noridian’s Customer Service Department at (877)320-0390 (M – F, 8:00 am to 6:00 pm CST) if there are any questions that pertain to these CERT claims.

Most Recent Update: April 21, 2017

Medical records for our first set of ADR’s have been coming in at a record pace.  Thank you!  In order to keep operations running smoothly, we have a few tips for those submitting records via CD or FAX that will help to ensure your records are processed timely and accurately:

  • Files loaded to CD’s must be loaded with the proper naming convention of NPI-Claim number (an example can be found in the ADR letter).
  • If submitting a large record on a CD (200 MB+), please break it into volumes (i.e. NPI-Claim number Vol 1, NPI-Claim Number Vol 2, etc.).  If you do not want to break it into volumes, please ensure the settings on the CD allow us to modify the files so that we can separate large files into volumes for you.
  • When submitting CD’s with passwords, please use the standard password found in the ADR letter or if submitting with your own password please email that password to the RAC Mailbox at before sending us the CD.
  • If you want to fax records, please limit the page count to 50 pages or less.  Faxes larger than 50 pages will fail or be incomplete due to size and transmission time limitations (meaning the Fax machine will “time-out” and the transmission will fail).  Records larger than 50 pages must be submitted via CD, Paper, or esMD.

If there is an error in the submission format, Customer Service will make a courtesy call to advise you of the error.  If the files are submitted incorrectly or fail a second time, the files will be rejected and you will have to resubmit them with the correct format.  Please don’t forget, you can check status for the receipt of records by signing into the provider portal.

Thank you in advance for your understanding and assistance.

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Supporting Resources

If you are a provider seeking additional information for Region 1 support, Click Here
If you are a DMEPOS supplier or Home Health or Hospice provider seeking additional information for Region 5 support, Click Here
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