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.Contact Us
General Program Updates
Most Recent Update: September 14, 2017
Effective 09/10/2017, The Centers for Medicare and Medicaid Services has issued a contractual guidance to the RACs regarding Hurricane Irma and its impact to the State of Florida (FL), the territory of the United States Virgin Islands, or the Commonwealth of Puerto Rico. The RAC’s will not send medical review additional documentation requests (ADR’s) to any providers in these affected areas for a period of 60 days starting on September 10, 2017. In addition, the RAC’s will not deny claims for providers which have been designated by the Federal Emergency Management Agency (FEMA) as eligible for direct federal assistance for a total of 60 days. Information by state and county is available on the FEMA Website at: Regarding Florida, per FEMA’s website, https://www.fema.gov/disasters.
Most Recent Update: September 5, 2017
Effective 09/01/2017, The Centers for Medicare and Medicaid Services has issued a contractual guidance to the RACs regarding Hurricane Harvey and its impact to the States of Texas and Louisiana. Effective immediately, the RAC’s will not send medical review additional documentation requests (ADR’s) to any providers in Texas (TX) and Louisiana (LA) for a period of 30 days starting on September 1, 2017. In addition, the RAC’s will not send ADRs or deny claims for providers in the zip codes which have been designated by the Federal Emergency Management Agency (FEMA) as eligible for direct federal assistance, for an additional 30 days (for a total of 60 days). This applies only to counties with FEMA major disaster declarations eligible for direct federal assistance as of September 1, 2017 (not counties with emergency designations or other declarations). Information by state and county is available on the FEMA Website at: https://www.fema.gov/disasters.
Specific Impacted Counties in Texas include: Aransas, Austin, Bastrop, Bee, Brazoria, Calhoun, Chambers, Colorado, DeWitt, Fayette, Fort Bend, Galveston, Goliad, Hardin, Harris, Jackson, Jasper, Jefferson, Karnes, Kleberg, Lavaca, Lee, Liberty, Matagorda, Montgomery, Newton, Nueces, Orange, Polk, Refugio, Sabine, San Jacinto, San Patricio, Tyler, Victoria, Walker, Waller and Wharton. Please see https://www.fema.gov/disaster/4332 for additional information.
Regarding Louisiana, per FEMA’s website, https://www.fema.gov/archive/disaster/3382 , as of September 1, 2017, no counties in Louisiana were designated by FEMA as eligible for direct federal assistance.
Most Recent Update: August 10, 2017
Noridian, DME MAC JA and JD is hosting a “Recovery Auditor” Outreach session next week on the 17th of August at 2:00pm CST, which will focus on the RAC Region 5 national contract, from their perspective as the DME MAC, JA and JD.
The announcement information for the webinar may be found on Noridian’s website Here.
The registration Link for the webinar may be found here