Recovery Audit

How Will I Know When a Payment Determination Has Been Issued?

When a Recovery Auditor finds that improper payments have been made, they will submit claim adjustments to your MAC. The MAC will perform the adjustments based on the Recovery Auditor’s review, and issue an automated demand letter to the provider. If you agree with the Recovery Auditor's determination, National Government Services will issue the recoupment offset on your remittance advice (unless you have submitted a check or a valid appeal). Recovery Auditor recoupment offsets will be identified on your remittance advice with the following ANSI remark code and message:

N432: Adjustment based on recovery audit

Reviewed 4/29/2024

RAC Contact Information

Region 1 - CT, IN, KY, MA, ME, MI, NH, NY, OH, RI, and VT
Performant Recovery, Inc.
866-201-0580
Email
Website

Region 2 - AR, CO, IA, IL, KS, LA, MO, MN, MS, NE, NM, OK, TX, and WI
Performant Recovery, Inc.
866-201-0580
Email
Website

Region 3
Cotiviti, LLC
866-360-2507
Email
Website

Region 4
Cotiviti Gov Services
877-350-7992
Email
Website

Region 5 - Nationwide for DMEPOS, HHA and Hospice
Performant Recovery, Inc.
866-201-0580
Email
Website

RAC Contact Information

Region 1 - CT, IN, KY, MA, ME, MI, NH, NY, OH, RI, and VT
Performant Recovery, Inc.
866-201-0580
Email
Website

Region 2 - AR, CO, IA, IL, KS, LA, MO, MN, MS, NE, NM, OK, TX, and WI
Performant Recovery, Inc.
866-201-0580
Email
Website

Region 3
Cotiviti, LLC
866-360-2507
Email
Website

Region 4
Cotiviti Gov Services
877-350-7993
Email
Website

Region 5 - Nationwide for DMEPOS, HHA and Hospice
Performant Recovery, Inc.
866-201-0580
Email
Website

RAC Contact Information

Region 1 - CT, IN, KY, MA, ME, MI, NH, NY, OH, RI, and VT
Performant Recovery, Inc.
866-201-0580
Email
Website

Region 2 - AR, CO, IA, IL, KS, LA, MO, MN, MS, NE, NM, OK, TX, and WI
Cotiviti, LLC
866-360-2507
Email
Website

Region 3
Cotiviti, LLC
866-360-2507
Email
Website

Region 4
Cotiviti Gov Services
877-350-7992
Email
Website

Region 5 - Nationwide for DMEPOS, HHA and Hospice
Performant Recovery, Inc.
866-201-0580
Email
Website

RAC Contact Information

Region 1 - CT, IN, KY, MA, ME, MI, NH, NY, OH, RI, and VT
Performant Recovery, Inc.
866-201-0580
Email
Website

Region 2 - AR, CO, IA, IL, KS, LA, MO, MN, MS, NE, NM, OK, TX, and WI
Cotiviti, LLC
866-360-2507
Email
Website

Region 3
Cotiviti, LLC
866-360-2507
Email
Website

Region 4
Cotiviti Gov Services
877-350-7992
Email
Website

Region 5 - Nationwide for DMEPOS, HHA and Hospice
Performant Recovery, Inc.
866-201-0580
Email
Website