HMS Skip Navigation Links
Home
Region 4 Info
Provider Info
New Issues
FAQ
Contact Us
Login

HMS welcomes you to RAC-Info!
Important Provider Updates

9/14/2017:   Administrative Relief

Hurricane Harvey – Administrative Relief
Due to the severity and circumstances of Hurricane Harvey, to allow for administrative relief, all reviews for the states of Texas and Louisiana have been placed on Hold.  Per CMS directive, effective September 1th, 2017, no additional documentation request, review results or improper payment notification letters will be issued to providers in these states for a period of 60 days.   If medical records or discussion documentation are received, the reviews will be initiated on or after 11/1/2017 and will be completed by 12/1/2017.  If needed, please contact the HMS Provider Relations Department to request an extension to submit the requested medical records.

Hurricane Irma – Administrative Relief
Due to the severity and circumstances of Hurricane Irma, to allow for administrative relief, all reviews for the state of Florida, territory of the United States Virgin Islands, and the Commonwealth of Puerto Rico have been placed on Hold.  Per CMS directive, effective September 11th, 2017, no additional documentation request, review results or improper payment notification letters will be issued to providers in these states for a period of 60 days.   If medical records or discussion documentation are received, the reviews will be initiated on or after 11/11/2017 and will be completed by 12/11/2017.  If needed, please contact the HMS Provider Relations Department to request an extension to submit the requested medical records.


7/5/2017:   HMS Provider Portal Contact Customization
The HMS Provider Portal is available for all Region 4 Providers in the JL, JE and JF MAC Regions to customize their contact information. Provider Portal User Guides are available on the homepage, under Links and Resources, to assist Providers with establishing their user credentials and customizing their contact information. Providers may also contact HMS' Provider Relations Department for assistance. 

HMS has received CMS approval to initiate review in the Novitas JL MAC Region

5/18/2017:   RAC 4 Audits
HMS Region 4 RAC has received CMS approval to begin audits for the Noridian JE and JF MAC Part A and Part B Jurisdiction.

5/15/2017:   Provider Outreach Presentations
The HMS Region 4 Part A and Part B Provider Outreach Presentations are now located under the "Links & Resourcces" on the home page. 

Please continue to monitor the Provider Portal for updates on when HMS will initiate reviews in Region 4.

4/12/2017:   HMS Awarded Region 4 Recovery Audit Contract
On October 31st, 2016, CMS awarded HMS Federal Solutions (HMS), a wholly owned subsidiary of HMS Holdings Corporation, the Region 4 Recovery Audit Contractor (RAC) contract. As the Region 4 RAC, HMS will perform postpayment reviews to identify improper payments (overpayment and underpayments) that were made on all Part A and Part B Medicare claims for all provider types. Additional updates related to Region 4 RAC reviews will be posted to this website as HMS implements the RAC Program in Region 4. 

Please refer to the following link for the map of the Medicare Fee-for-Service RAC Regions and related RACS. Medicare Fee-for-Service RAC Region Map

4/12/2017:   Provider Outreach Activities
To educate providers on the RAC Process, HMS will partner with the Region 4 Medicare Administrative Contractors (MAC) to host Provider Outreach Webinars. 

Below is a list of JE and JF Provider Outreach Webinars. Please select a link below to register for an event. 

Part A (4/12/2017) 
Jurisdiction E, Medicare Part A: https://med.noridianmedicare.com/web/jea/education/training-events
Jurisdiction F, Medicare Part A: https://med.noridianmedicare.com/web/jfa/education/training-events 

Part B (4/24/2017 & 5/16/2017) 
Jurisdiction E, Medicare Part B: https://med.noridianmedicare.com/web/jeb/education/training-events
Jurisdiction F, Medicare Part B: https://med.noridianmedicare.com/web/jeb/education/training-events

Please continue to monitor this website for additional events and updates on the Region 4 RAC Program

CMS recent updates on the RAC Program may be found at: CMS recent updates on the RAC Program may be found at: https://www.cms.gov/Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Recovery-Audit-Program/Recent_Updates.html Selecting this link will open a new window.

  Note: Both HMS Federal Solutions and HealthdataInsights (HDI) are wholly owned subsidiaries of HMS Holdings Corporation.
Disclaimer: This website contains proprietary, confidential and privileged information and data that may not be copied, reproduced or disseminated, in whole or part, without the prior written consent of HMS.

Version: 1.38.45 User: Browser: Unknown v.00