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Important Provider Updates

05/15/2017:   HMS Region 4 Provider Portal
The HMS Region 4 Provider Portal is now available and may be accessed at https://racinfo.hms.com. 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.

04/12/2017:    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
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:
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

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 https://racinfo.healthdatainsights.com/home. 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 (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

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.

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 HealthDataInsights, Inc.

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