Reduce and Recover More Costs Today

We understand the challenges associated with supporting payment integrity programs, managing a network of providers, and maintaining a healthy MCR. We offer a complete suite of payment integrity services designed for payers looking to get more from their outsourcing partners. Whether you’re a large national health plan, local regional plan, or government agency—we’ll deliver a tailored solution that aligns to your specific goals, and takes advantage of learnings from one of the largest recovery audit footprints across the United States.

Our End-to-End Services Include:

  • Complex and Clinical Audit
  • Data Mining
  • Fraud Analytics
  • Provider Recovery

CMS Medicare Recovery Auditor

Performant is a CMS Medicare Recovery Auditor (RAC) for Regions 1 and 5, including the national contract for DMEPOS, Home Health and Hospice. We work closely with the Centers for Medicare and Medicaid Services to reduce errors and costs associated with the Medicare program.

CMS RAC Provider Resources

Recovery Audit Experience

High Accuracy of Findings

Customer-Centric Delivery

Why Performant?

We bring 10 years of recovery audit experience, expertise in Medicare and Medicaid and fully-insured populations, and a long history of helping health plans find more cost savings with audit and analytics.

Advantages of Partnering with Us:

  • Proven industry best practices coupled with a proprietary library of specialized audits
  • Fast program implementation leading to accelerated recovery and ROI
  • High accuracy of findings to protect your critical provider relationships
  • A dedicated team focused on building a long term partnership

Tools to Support Your Success and Maximize Savings

Our solutions offer a success blueprint approach developed by payment integrity experts and backed by our unique analytics and reporting platform, Performant Insight™, to help you achieve your goals.

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