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.
