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Who is the RAC in my state?
- Region A: Diversified Collection Services (DCS) -- 1-866-201-0580, working in Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont.
- Region B: CGI -- 1-877-316-7222, e-mail: racb@cgi.com, working in Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio, and Wisconsin.
- Region C: Connolly Consulting, Inc. -- 1-866-360-2507, working in Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia, Puerto Rico, and U.S. Virgin Islands.
- Region D: HealthDataInsights, Inc. -- Part A: 1-866-590-5598, Part B: 1-866-376-2319, e-mail: racinfo@emailhdi.com, working in Alaska, Arizona, California, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana, North Dakota, Nebraska, Nevada, Oregon, South Dakota, Utah, Washington, Wyoming, Guam, American Samoa, and Northern Marianas.
RAC Scopes and 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 RACs focusing on hospital claims?
Do RACs review claims paid by Medicare Advantage Managed Care plans?
How far back can RACs look in reviewing claims?
Will RACs review claims for evaluation and management services?
RAC Review Criteria
How will RACs 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 on-site review of my medical records?
Planning to Avoid RAC Issues
What should I do to protect my practice from RAC recovery efforts?

