Recovery audit contractor region 3
Active Definitive Contract Awarded Last action
- Contract number
- 75FCMC25CJ006
- Awardee
-
Cotiviti GOV Services, LLC UEI MQL5DMJGJJL5
- Awarding agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Obligated
- $10,635,371
Award facts
- Opportunity
-
- Recovery Audit Contractor (RAC) Regions 3, 4, & 5 Solicitation · 75FCMC25RJ003 · Posted Nov 22, 2024
- Contract value 11% obligated
-
- $10,635,371.19 Current, with exercised options
- $100,635,371.19 Potential, with all options
- Completion date 15% complete
-
- Current, with exercised options
- Potential, with all options
- NAICS code
- 561440 Collection Agencies
- PSC
- R704 Support- Management: Auditing
- Set-aside
- No set-aside
- Competition
- Full and Open Competition · 4 offers Negotiated Proposal / Quote
- Pricing
- Firm Fixed Price
- Place of performance
- Riverton, UT 84095, USA
- Legislative mandates
-
- Service Contract Act FAR subpart 22.10
- Employment Eligibility Verification (E-Verify) FAR subpart 22.18
- Service Contract Inventory FAR subpart 4.17
Award details come from SAM.gov/FPDS.
Transactions
| Action | Obligated | Date |
|---|---|---|
| Other Administrative Action | $0 | |
| Other Administrative Action | $0 | |
| Original award | $10,635,371 |
About this award
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 underpayments. Cotiviti will work with CMS and Medicare Administrative Contractors to adjust claims, recoup overpayments, pay underpayments, and support the appeals process. The contract also includes a requirement for Cotiviti to update the RAC Data Warehouse and provide monthly reports. This is a continuation of CMS's RAC program, which aims to reduce Medicare improper payments through efficient detection and correction.
Quick answers
Who was awarded contract 75FCMC25CJ006?
75FCMC25CJ006 was awarded to Cotiviti GOV Services, LLC by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on May 1, 2025.
How much is contract 75FCMC25CJ006 worth?
The government has obligated $10,635,371 on 75FCMC25CJ006. Its potential value, with all options, is $100,635,371.
Was contract 75FCMC25CJ006 competed?
The extent of competition for 75FCMC25CJ006 was full and open competition. The government received 4 offers.
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