Posts Tagged: rac dispute

RACs in Full Swing Again

Contractor Protests Resolved

The RACs are now able to continue their work, as the Contractor protests have been resolved, freeing the work to begin in earnest. The following appeared on the CMS website today:

Protest Resolved: On February 4, 2009 the parties involved in the protest of the award of the Recovery Audit Contractor (RAC) contracts settled the protests.  The settlement means that the stop work order has been lifted and CMS will now continue with the implementation of the RAC program.

Evidently, the RACs are being instructed to “supplement their efforts” via the use of subcontractors. PRG-Schultz will subcontract for several of the RACs (HDI, DCS and CGI in regions A, B and D), while Viant will subcontract for Connolly Consulting (region C).  The subcontractors will have different responsibilities in each region, which may include claim review.

The RAC in each jurisdiction is as follows:

  • Region A: Diversified Collection Services, Inc. of Livermore, California, initially working in Maine, New Hampshire, Vermont,  Massachusetts, Rhode Island and New York.
  • Region B: CGI Technologies and Solutions, Inc. of Fairfax, Virginia, initially working in Michigan, Indiana and Minnesota.
  • Region C: Connolly Consulting Associates, Inc. of Wilton, Connecticut, initially working in South Carolina, Florida, Colorado and New Mexico.
  • Region D: HealthDataInsights, Inc. of Las Vegas, Nevada, initially working in Montana, Wyoming, North Dakota, South Dakota, Utah and Arizona.

CMS plans to include additional states to each RAC region in 2009.

Click here to download the RAC Jurisdiction Map.

Click here to download other RAC documents, as posted at the eduTrax® portal.

Will RACs Continue?

Announcement by GAO Expected Monday February 9

The outcome of a dispute between two unsuccessful bidders for the Recovery Audit Contractor program and The Centers for Medicare & Medicaid Services will be announced by the GAO on Monday, February 9, according to RAC Monitor (www.racmonitor.com).  Find an article by RAC Monitor, HERE.

The GAO has not yet hinted on the outcome of the dispute, but we would expect one of two outcomes: either the program will continue as it stands, or the contracting process will be re-opened. Either way, the RACs will still be around. Readers will recall that the demonstration program in California, Florida, New York, Massachusetts, South Carolina and Arizona collected over $1.3 billion in overpayments.

The RAC program is not going away.

Get All New Posts by eMail

Enter your email address:

Delivered by FeedBurner

post categories

Clicky Web Analytics

Weblogs Directory

Powered by FeedBurner

 Subscribe in your own
Favorite RSS Reader

Pageviews in 2010 =