On December 30, 2014, the Centers for Medicare and Medicaid Services (CMS) awarded the first national recovery audit contract to Connolly, LLC, a subsidiary of Connolly iHealth Technologies. The contract is for Region 5, which is national in scope and includes Medicare claims for Durable Medical Equipment and Home Health and Hospice (DME/HH-H). CMS previously determined that it would select recovery auditors to review Medicare claims within four geographic regions of the country, and a new fifth nationwide region focused on identifying overpayments and underpayments specifically among DME/HH-H claims.
G2X TAKE: The nationwide nature of this contract makes this a big deal and an on the map marker for the Connolly portion of Connolly iHealth Technologies. Fraud, waste, and abuse are high on CMS list of priorities to reduce costs and auditing nationally durable medical equipment and home health and hospice claims should expose a lot of questionable payments. Connolly iHealth Technologies might be an interesting partner to considering reaching out to as CMS ESD II beckons on the horizon.