Performant renewed for audit contract 

LIVERMORE, Calif. - Performant Healthcare Solutions has announced that CMS has awarded the company the Medicare Secondary Payer (MSP) Recovery Audit contract, also known as the Commercial Repayment Center (CRC), for a six-year term consisting of one base year and five option years. This is a contingency fee contract, meaning CMS pays Performant a percentage of overpayment recoveries returned to the Medicare Trust Fund. “This contract win is an affirmation of our demonstrated history of continuous improvement that has resulted in annually increasing and record setting recoveries to the MSP CRC program,” stated Simeon Kohl, president of Performant. “We are honored to serve CMS as one of our longest health care partners. And we are excited to be recognized by CMS as a best value contractor on multiple, national programs. These programs afford Performant a unique view of the national healthcare landscape and trends.” Performant, which has been the incumbent MSP CRC contractor since September 2017, has increased recoveries to the Medicare Trust Fund by nearly 340% per year through the end of FY 2021. Under the contract, Performant is responsible for identifying and recovering payments in situations where CMS should not be the primary payer of health care claims because a beneficiary has other forms of insurance coverage, such as through an employer Group Health Plan or certain other payers. In addition to the MSP CRC contract, Performant also serves as the CMS Recovery Audit Contractor (RAC) for Regions 1, 2, and the nationwide Region 5 for DMEPOS and Home Health and Hospice (HH&H) claims. Further, Performant was recently selected as the sole national medical reviewer for the Health and Humans Services Office of the Inspector General.