Who is the RAC in my state?
- Region A: Diversified Collection Services (DCS) -- 1-866-201-0580, initially working in Maine, New Hampshire, Vermont, Massachusetts, Rhode Island and New York.
- Region B: CGI -- 1-877-316-7222, e-mail: racb@cgi.com, initially working in Michigan, Indiana and Minnesota.
- Region C: Connolly Consulting, Inc. -- 1-866-360-2507, Connecticut, in Region C, initially working in South Carolina, Florida, Colorado and New Mexico.
- Region D: HealthDataInsights, Inc. -- Part A: 1-866-590-5598, Part B: 1-866-376-2319, e-mail: racinfo@emailhdi.com, initially working in Montana, Wyoming, North Dakota, South Dakota, Utah and Arizona.
RAC Scopes & Jurisdictions
Who is the RAC in my state?
Where can I learn what issues the RAC is reviewing?
Whose claims can be reviewed by the RAC?
Aren’t RAC’s focusing on hospital claims?
Do RAC’s review claims paid by Medicare Advantage Managed Care plans?
How far back can RAC’s look in reviewing claims?
Will RAC’s review claims for evaluation and management services?
RAC Review Criteria
How will RAC’s review claims for overpayments and underpayments?
RAC Recovery Requests
How can I identify a RAC recovery versus a request for refund from other sources?
If I disagree with an RAC’s overpayment findings, can I appeal?
Is there limitation on recovery of small overpayments found by the RAC?
Medical Record Review by the RAC
Must I allow the RAC to conduct an onsite review of my medical records?
Planning to Avoid RAC Issues
What should I do to protect my practice from RAC recovery efforts?
