Definitive Contract 75FCMC21C0007
- Not listed
- The Centers for Medicare and Medicaid Services awarded a $32.2M firm fixed-price definitive contract to Performant Recovery, Inc. on March 24, 2022, for Recovery Audit Contractor services covering Region 2. Under this contract, which extends through January 3, 2033, Performant Recovery will identify and recover improper Medicare Fee-for-Service payments by reviewing claims submitted to Medicare Administrative Contractors, excluding Durable Medical Equipment, Prosthetics, Orthotics, and...
- The Centers for Medicare and Medicaid Services (CMS) awarded a Recovery Audit Contractor (RAC) Region 5 definitive contract to Cotiviti GOV Services, LLC (doing business as HMS Federal) on May 1, 2025, with a ceiling value of $39.9 million and performance extending through April 30, 2035. This firm-fixed-price contract requires the contractor to review Medicare Fee-for-Service claims submitted to Medicare Administrative Contractors in Region 5, specifically focusing on Durable Medical Equipment,...
- This is a $100,265,674.05 definitive, firm-fixed price contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Cotiviti GOV Services, LLC (doing business as HMS Federal), a for-profit limited liability company. The contract is for Recovery Audit Contractor (RAC) services to review Medicare Fee-for-Service claims and identify improper payments in Regions 3, 4, and 5, with Region 5 specifically focused on Durable Medical Equipment, Prosthetics, Orthotics, and Supply claims, and...
- The Centers for Medicare and Medicaid Services (CMS) awarded a delivery order valued at $165.3 million to Performant Recovery, Inc. for the Medicare Secondary Payer Commercial Repayment Center (MSP CRC) contract, with an award date of February 9, 2023 and ultimate completion date of February 8, 2029. This firm fixed-price delivery order is performed in Livermore, California and was not designated as a set-aside. The MSP CRC contract supports CMS's mission to identify and recover improper...
- This is a $100,635,371.19 firm-fixed price contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Cotiviti GOV Services, LLC, doing business as HMS Federal, for Recovery Audit Contractor (RAC) services in Regions 3 and 4. The contract has an 8.5-year base period and an 18-month option period, and does not have a set-aside designation. The contract requires Cotiviti to review Medicare Fee-for-Service claims to detect and correct improper payments, including overpayments and...
- This is a delivery order awarded to Performant Recovery, Inc. by the U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) for the contractor to conduct medical reviews for Medicare Part A in March 2023. The task order has a firm-fixed-price ceiling value of $137,235.00 and a period of performance through December 19, 2024. Performant Recovery, Inc. is a publicly traded company that specializes in providing recovery auditing, improper payment identification,...
- This is a firm-fixed-price delivery order contract awarded by the Department of Health and Human Services (HHS) Office of the Inspector General (OIG) to Performant Recovery, Inc. for Part A medical reviews. The contract has an ultimate completion date of December 29, 2024 and a ceiling value of $77,080. There is no set-aside designation for this award. Performant Recovery, Inc. is a publicly traded company that provides recovery auditing, improper payment identification, and debt collection...
- The Department of Health and Human Services Office of the Inspector General (HHS OIG) awarded a $96,020 delivery order to Performant Recovery, Inc. for Part A medical reviews. This task order represents a competitive award with no set-aside designation and extends the period of performance through December 29, 2025. Performant Recovery, a publicly traded company headquartered in Livermore, California, specializes in recovery auditing, improper payment identification, and debt collection services...
- This is a Firm Fixed Price delivery order contract awarded by the U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) to Performant Recovery, Inc. for medical record review audit services. The contract has a ceiling value of $51,500.00 and an ultimate completion date of December 15, 2025. The contract is not set aside for any specific business type. Performant Recovery, Inc. is a publicly traded company headquartered in Livermore, California that...
- This is a $51,500 firm-fixed price delivery order awarded by the Department of Health and Human Services (HHS) Office of the Inspector General (OIG) to Performant Recovery, Inc. for medical reviews for Medicare Part A. The award does not have a set-aside designation. Performant Recovery, Inc. is a publicly traded company that specializes in recovery auditing, improper payment identification, and debt collection services for government agencies, particularly in the healthcare sector. The...
The Centers for Medicare and Medicaid Services (CMS) awarded a Definitive Contract to Performant Recovery, Inc. on March 26, 2021, to serve as the Recovery Auditor Contractor (RAC) for Region 1. Under this firm fixed-price contract, Performant Recovery will identify underpayments and recoup overpayments associated with Medicare Part A and Part B services, with a contract ceiling of approximately $54.9 million and an ultimate completion date of March 25, 2031. The contract was awarded competitively without a set-aside designation. The work will be performed in Livermore, California, where Performant Recovery maintains its headquarters. This RAC engagement is a critical component of CMS's program integrity efforts, enabling the agency to detect and recover improper payments within the Medicare program through comprehensive audits and medical record reviews. Performant Recovery brings extensive expertise in healthcare recovery auditing and improper payment identification, with a proven track record of executing multiple RAC and specialized medical review contracts across various regions and service categories. The ten-year performance period reflects the importance of sustained recovery audit services to ensure ongoing financial accountability and reduce fraud, waste, and abuse within the Medicare system.
Mod # | Description | ReasonForModification | Federal Obligation | Date |
|---|---|---|---|---|
| P00018 | Supplemental Agreement for work within scope | $18.9m | 12/31/25 | |
| P00017 | Other Administrative Action | $0 | 10/29/25 | |
| P00016 | Other Administrative Action | $0 | 8/26/25 | |
| P00015 | Funding Only Action | $7.0m | 4/25/25 | |
| P00014 | Other Administrative Action | $0 | 12/23/24 |