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Important Provider Updates

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 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

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.

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