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Important Provider Updates

12/29/2017:   Region D Contract Closeout
Due to end of the RAC D Contract, after January 31st, 2018, the HDI RAC D provider portal, the RAC D Provider Relations phone numbers Part A: (866) 590-5598 and Part B: (866) 376-2319 and the RAC D email address will no longer be available. Until then, please feel free to contact us with any questions or concerns you may have.

It was a pleasure working with all of you.

05/15/2017:   HMS Region 4 Provider Portal
The HMS Region 4 Provider Portal is now available and may be accessed at The Portal services providers in the JE, JF, and JL MAC Jurisdictions and will include the following information:
  • The provider’s overall ADR limit
  • Dates of all ADR letters
  • The date that the medical documentation was received for each claim being reviewed
  • The date that medical review of the documentation began
  • The date that medical review of the documentation was completed
  • The outcome of the review (overpayment, underpayment, no finding)
  • Discussion period information
  • Appeals outcomes
  • Case closure date
Please continue to monitor the Region 4 Provider Portal for updates on when HMS will initiate reviews in Region 4.

02/20/2017:    HMS RAC Region 4 Update
HMS Federal continues its transition from Region D to Region 4. We will furnish updates to the provider community as we progress toward performing claim reviews. Until the HMS Federal website is established, all updates will be posted to the Region D website at will open in a new window. In Addition, updates will be provided to the MACs and Associations within Region 4. Stay tuned for more information!

11/21/2016:    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 (overpayments 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 will open in a new window

Note: Both HMS Federal Solutions and HealthDataInsights (HDI) are wholly owned subsidiaries of HMS Holdings Corporation.

08/25/2016:   Discussion Period Request or Correspondence Received after 08/26/2016
Due to the CMS directed end of active auditing on the current HDI Region D Recovery Audit Contract, HDI has been instructed to discontinue reviewing any Discussion Period Requests or Correspondence received after 3:00 PM PST on 08/26/2016.

12/03/2015:   “New” Login Requirements
The Centers for Medicare and Medicaid Services (CMS) and HealthDataInsights, Inc. (HDI) are serious about safeguarding Protected Health Information (PHI). As you may be aware, the issue of cyber-security has become a serious one for all companies due to the growing threat from hackers and malware. In light of these developments, beginning December 10, 2015, HDI will implement a new “Two Factor Authentication” log in process for all users who log into the Region D Provider Portal. This new login process will require you to validate your identity with each login attempt through a security code which will be sent to the email address on file. Click on the Provider Portal User Guide Link to the right for instructions on the new login process.

CMS recent updates on the RAC Program may be found at: Selecting this link will open a new window.
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