CMS often receives referrals of potential improper payments from the MACs, UPICs, and Federal investigative agencies (e.g., OIG, DOJ). At CMS discretion, CMS may require the RAC to review claims, based on these referrals. These CMS-Required RAC reviews are conducted outside of the established ADR limits.
News and Alerts Updates
Archive for all Region 1 and Region 5 Updates
April 8, 2019
July 2, 2018
Performant will be closed for Independence Day and the day after, July 4th and 5th. You will still be able to reach us via email at Performantrac.com or call our Customer Service line 866-201-0580 and leave a message. We will respond to all messages July 6th upon our return. From all of us to all of you, “Have a fun and safe holiday”.
April 30, 2018
Performant has temporarily removed letter templates from the website to make updates. The modifications will be minor in context. If you click on a link to letter that has been removed, a blank page will display. Once modifications are made, the templates will be uploaded and available for viewing. We appreciate your patience during this activity. UPDATE 5/4/18: Letter templates are back on-line.
April 20, 2018
Medicare FFS Recovery Audit Contractors (RACs) are approved by CMS to review Periodic Interim Payment (PIP) providers under CMS New Issue #0001 MS-DRG Validation. Facilities receiving Periodic Interim Payments will receive ADR’s within 6 months of the date of service for the claims under review.
January 8, 2018
Effective 1/31/18, all customer support services will no longer be available for Region A inquiries. The new RAC contracts for Region 1 and Region 5 will be unable to service the outgoing RAC contracts that end January 2018. Please redirect Region A inquiries to your respective Medicare Administrative Contractor (MAC) or Centers for Medicare and Medicaid Services (CMS).