UPDATE: National DMEPOS RAC on hold after protest filed by Connelly competitor

Earlier this year, CMS released information about the new national recovery audit contractor (RAC) that will take the place of the four regional RAC’s currently auditing DMEPOS claims. Prior to this release, CMS announced it had selected Connelly LLC, currently the CMS contracted auditor in Region C, to be the new national RAC contractor tasked with auditing all Medicare DMEPOS claims. However, just days later a competitor of Connelly, Performant Recovery, currently the RAC in Region A, filed a bid protest with the Government Accountability Office (GAO).

The national RAC rollout out must now be put on hold pending the GAO appeal decision. A decision must be made by April 16th. The four regional Recovery Audit Contractors will continue auditing DMEPOS claims until the national RAC contractor is finalized.

Stay tuned for additional guidance as it becomes available.

 

Advertisements
This entry was posted in Orthotics and Prosthetics, re provider, Regulatory and tagged , , , . Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s