The purpose of risk adjustment data validation (RADV) is to measure the extent to which inaccurate diagnosis codes impact HCC assignments and the associated payment for MA beneficiaries. The RADV…

Ended Definitive Contract Awarded Last action

Contract number
75FCMC19C0013
Awardee
Awarding agency
Obligated
$17,914,869

Award facts

Opportunity
Contract value 78% obligated
  • $17,914,869.00 Current, with exercised options
  • $22,851,645.00 Potential, with all options
Completion date 100% complete
Current and potential, with all options
Set-aside
Competitive 8(a)
Competition
Full and Open Competition after exclusion of sources · 3 offers Negotiated Proposal / Quote
Pricing
Cost Plus Fixed Fee
Place of performance
Owings Mills, MD, USA
Legislative mandates

Award details come from SAM.gov/FPDS.

Transactions

Action Obligated Date
Other Administrative Action P00013 $0
Other Administrative Action P00012 $0
Exercise an Option P00011 · Medical record review contractor B $4,843,743
Other Administrative Action P00010 $0
Other Administrative Action P00009 · In accordance with executive order (E.O.) 14042 signed by the president on september 9, 2021, and published in the federal register at 86 FR 50985, the contract… $0
Other Administrative Action P00008 · This modification will change the COR in cams to heather blum from allison johnson. $0
Other Administrative Action P00007 · This modification will change the CS in cams to timothy gray from dorota horton. $0
Exercise an Option P00006 $4,752,762
Other Administrative Action P00005 $0
Other Administrative Action P00004 $0
Other Administrative Action P00003 $0
Exercise an Option P00002 $4,660,191
Other Administrative Action P00001 $0
Original award $3,658,173
Show all 14

About this award

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded a $22,851,645.00 Cost Plus Fixed Fee contract to Visual Axis LLC, a self-certified Small Disadvantaged Business, for Risk Adjustment Data Validation (RADV) services. The purpose of RADV is to measure the accuracy of diagnosis codes and their impact on payment for Medicare Advantage (MA) beneficiaries. The contract involves the evaluation and analysis of risk adjustment data through medical record review. This is a definitive contract that was competitively awarded under the 8(a) set-aside program, with a completion date of March 5, 2023.

Description

The purpose of risk adjustment data validation (RADV) is to measure the extent to which inaccurate diagnosis codes impact HCC assignments and the associated payment for MA beneficiaries. The RADV process involves the evaluation and analysis of the risk adjustment data via medical record review.

Quick answers

Who was awarded contract 75FCMC19C0013?

75FCMC19C0013 was awarded to Visual Axis LLC by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on March 5, 2019.

How much is contract 75FCMC19C0013 worth?

The government has obligated $17,914,869 on 75FCMC19C0013. Its potential value, with all options, is $22,851,645.

Was contract 75FCMC19C0013 competed?

The extent of competition for 75FCMC19C0013 was full and open competition after exclusion of sources. The government received 3 offers. It was set aside: Competitive 8(a).

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