What Are the Recovery Auditors' Responsibilities?
Recovery Auditors review claims on a postpayment basis using the same Medicare policies as MACs:
- NCDs
- LCDs and
- CMS manuals/regulations
To ensure accuracy, Recovery Auditors are required to employ nurses, therapists, certified coders and a contractor medical director.
Recovery Auditors use two review processes:
- Automated (no medical record needed)
- Complex (medical record required)
To minimize provider burden, Recovery Auditors may look back only three years from the date the claim was paid; however, Recovery Auditors are unable to review claims paid prior to 10/1/2007.
Reviewed 4/29/2024
RAC Contact Information
Region 1 - CT, IN, KY, MA, ME, MI, NH, NY, OH, RI, and VT
Performant Recovery, Inc.
866-201-0580
Email
Website
Region 2 - AR, CO, IA, IL, KS, LA, MO, MN, MS, NE, NM, OK, TX, and WI
Performant Recovery, Inc.
866-201-0580
Email
Website
Region 3
Cotiviti, LLC
866-360-2507
Email
Website
Region 4
Cotiviti Gov Services
877-350-7992
Email
Website
Region 5 - Nationwide for DMEPOS, HHA and Hospice
Performant Recovery, Inc.
866-201-0580
Email
Website
RAC Contact Information
Region 1 - CT, IN, KY, MA, ME, MI, NH, NY, OH, RI, and VT
Performant Recovery, Inc.
866-201-0580
Email
Website
Region 2 - AR, CO, IA, IL, KS, LA, MO, MN, MS, NE, NM, OK, TX, and WI
Performant Recovery, Inc.
866-201-0580
Email
Website
Region 3
Cotiviti, LLC
866-360-2507
Email
Website
Region 4
Cotiviti Gov Services
877-350-7993
Email
Website
Region 5 - Nationwide for DMEPOS, HHA and Hospice
Performant Recovery, Inc.
866-201-0580
Email
Website
RAC Contact Information
Region 1 - CT, IN, KY, MA, ME, MI, NH, NY, OH, RI, and VT
Performant Recovery, Inc.
866-201-0580
Email
Website
Region 2 - AR, CO, IA, IL, KS, LA, MO, MN, MS, NE, NM, OK, TX, and WI
Cotiviti, LLC
866-360-2507
Email
Website
Region 3
Cotiviti, LLC
866-360-2507
Email
Website
Region 4
Cotiviti Gov Services
877-350-7992
Email
Website
Region 5 - Nationwide for DMEPOS, HHA and Hospice
Performant Recovery, Inc.
866-201-0580
Email
Website
RAC Contact Information
Region 1 - CT, IN, KY, MA, ME, MI, NH, NY, OH, RI, and VT
Performant Recovery, Inc.
866-201-0580
Email
Website
Region 2 - AR, CO, IA, IL, KS, LA, MO, MN, MS, NE, NM, OK, TX, and WI
Cotiviti, LLC
866-360-2507
Email
Website
Region 3
Cotiviti, LLC
866-360-2507
Email
Website
Region 4
Cotiviti Gov Services
877-350-7992
Email
Website
Region 5 - Nationwide for DMEPOS, HHA and Hospice
Performant Recovery, Inc.
866-201-0580
Email
Website