Performant Financial Corporation (Nasdaq: PFMT), (“Performant”, “the Company”), a leading provider of technology-enabled payment integrity, eligibility and related analytics services, today announced that the Centers for Medicare and Medicaid (CMS) awarded Performant an 8.5 year contract to serve as the Region 2 Recovery Audit Contractor (RAC). This contract was initially awarded via a full-and-open competitive procurement on March 24, 2022 and following a voluntary corrective action process that was initiated by CMS, the agency re-affirmed its initial award determination, that Performant’s proposal represents the best value for the Government.
Region 2 consists of the following states: IL, MN, WI, NE, IA, KS, MO, CO, NM, TX, OK, AR, LA, and MS. As the Region 2 RAC, Performant will perform post-payment reviews of Part A and B Medicare fee-for service claims to identify and support the recoupment of improperly paid claims. Any updates related to the contract will be posted on the Company’s CMS RAC Provider webpages.
“This contract win validates our competitive technology platform and highlights our unique ability to compete,” stated Simeon Kohl, President of Performant. “This extension of our more than ten-year partnership with CMS underscores our team’s hard work and dedication. It is an honor to serve CMS, and we are grateful to have the quality and value of our work affirmed through this award.”
In addition to Region 2, Performant is also the RAC for Region 1, which consists of 11 states across the Northeast and eastern-Midwest region, and the nationwide Region 5 for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) and Home Health and Hospice (HH&H) claims. Further, Performant is the exclusive contractor for the Medicare Secondary Payer (MSP) Commercial Repayment Center contract and was recently selected as the sole national medical reviewer for the HHS Office of the Inspector General.
About Performant Healthcare Solutions
Performant Healthcare Solutions is a leading provider of technology-enabled audit, recovery, and analytics services in the United States with a focus in the healthcare payment integrity industry. Performant works with healthcare payers through claims auditing and eligibility-based (also known as coordination-of-benefits) services to identify improper payments. The Company engages clients in both government and commercial markets. The Company also has a call center which serves clients with complex consumer engagement needs. Clients of the Company typically operate in complex and highly regulated environments and contract for their payment integrity needs in order to reduce losses on improper healthcare payments.
Powered by a proprietary analytic platform and workflow technology, Performant also provides professional services related to the recovery effort, including reporting capabilities, support services, customer care and stakeholder training programs meant to mitigate future instances of improper payments. Founded in 1976, Performant is headquartered in Livermore, California.
To learn more, please visit https://www.performanthealth.com
View source version on businesswire.com: https://www.businesswire.com/news/home/20221102005274/en/
Contacts
Richard Zubek
Investor Relations
925-960-4988
investors@performantcorp.com