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Overview

Section 302 of the Tax Relief and Health Care Act of 2006 made the Recovery Audit Program permanent and required the Secretary to expand the program to all 50 states by no later than 2010.  

Each Recovery Auditor is responsible for identifying overpayments and underpayments in approximately ΒΌ of the country. The Recovery Audit Program jurisdictions match the DME MAC jurisdictions.  

The Recovery Auditor in each jurisdiction is as follows:

Region A:  Diversified Collection Services (DCS) 

Region B:  CGI 

Region C:  Connolly, Inc. 

Region D:  HealthDataInsights, Inc.

All correspondence, websites and call centers will be in the name of the Recovery Auditors above. Click the link below to obtain contact information for each Recovery Auditor.

 

Downloads
FY 2010 Report To Congress [PDF, 774 KB]

Sept.1, 2011 Recovery Audit Program Final SOW [PDF, 292 KB]

Recovery Auditors Contact Information [PDF, 222 KB]

Recovery Audit Program Slide Presentation [PDF, 39.2 KB]
Related Links Inside CMS
2008 RAC Fact Sheet

Frequently Asked Questions

MM 6183 Limitation on Recoupment (935) [pdf, 420kb]

MLN The Medicare Appeals Process Brochure [pdf, 1.23mb]
Related Links Outside CMSExternal Linking Policy
 

 

Page Last Modified: 11/07/2011 2:33:21 PM
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