Recovery Audit Contractor

Recovery Audit Contractors (RACs) are responsible for identifying improper payments made on claims of health care services provided to Medicare beneficiaries. The RAC program was established by Section 302 of the Tax Relief and Health Care Act of 2006. Cotiviti, LLC., is the national RAC for JM Home Health and Hospice (HHH) providers.

The Medicare fee-for-service (FFS) Recovery Audit Program’s mission is to identify and correct Medicare improper payments through the efficient detection and collection of overpayments made on claims of health care services provided to Medicare beneficiaries, and the identification of underpayments to providers so that the Centers for Medicare & Medicaid Services (CMS) can implement actions that will prevent future improper payments in all 50 states.

Table 1: CMS RAC Region 5 Cotiviti Customer Service Contact Information

Additional Information About RACs

• CMS RAC Web Page
• CMS RAC Regions 3, 4 and 5