Recovery Audit Program

• Nursing Home Risk-Based Survey National Implementation

  

• ADR Limits - Institutional Provider (Facilities) - May 1, 2022 (PDF)

  

• ADR Limits  – Physician  – February 14, 2011 (PDF)

  

• ADR Limits – Supplier – April 1, 2022 (PDF)

  

• FY 2022 Medicare FFS RAC Report to Congress - Appendices (PDF)

  

• RAC SOW Regions 3-5-April 28, 2025 (PDF)

  

• Statement of Work (SOW) for the Part A/B Medicare Fee-for-Service (FFS) Recovery Audit Contractor (RAC) and the National DME/HH+H RAC– Regions 3, 4, and 5

  

• Recovery Audit Demonstration

  

• Demonstration SOW

  

• Recovery Audit Program Slide Presentation 

  

• Provider Options Chart

  

• Physician ADR Limits

  

• Additional Links for Providers

  

• August 15, 2011 Additional Documentation Limit Update for Providers 

  

• March 13, 2012: CMS Updates Additional Documentation Limits for Providers

  

• Supplier ADR Limits 

  

• April 2013 Supplier ADR Limit Update

  

• April 2013 Provider ADR Limit Update, Corrected 

  

• August 2013-Provider ADR Limit Clarification

  

• Prepay Demo ODF FAQ 8-14-2012