This is a $100,265,674.05 firm-fixed price definitive contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Cotiviti GOV Services, LLC, a for-profit limited liability company. The contract is to provide Recovery Audit Contractor (RAC) services for Regions 3, 4, and 5 to review Medicare Fee-for-Service claims, identify improper payments, and facilitate the adjustment of claims, recoupment of overpayments, and payment of underpayments. The contract has an 8.5-year base period...
This is a $39,908,792.14 firm-fixed price definitive contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Cotiviti GOV Services, LLC, a for-profit limited liability company, to serve as the Recovery Audit Contractor (RAC) for Region 5. The contract has an 8.5-year base period from May 1, 2025 to October 30, 2033, with an 18-month option period, and does not have a set-aside designation. The contract requires Cotiviti to review Medicare Fee-for-Service claims, identify...
This is a definitive contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Performant Recovery, Inc. The contract, valued at $36,027,525.40, is for the Recovery Audit Contractor (RAC) program in Region 1. Under this contract, Performant Recovery will identify underpayments and recoup overpayments associated with services for which payment is made under Medicare Part A or Part B. The contract has an ultimate completion date of March 25, 2031 and is a firm fixed-price...
This is a firm fixed-price contract awarded by the Centers for Medicare & Medicaid Services (CMS) to Reli Group Inc., a small disadvantaged business participating in the U.S. Small Business Administration's 8(a) Business Development Program. The contract, valued at $19,027,412.35, tasks Reli Group with reviewing claim determinations made by Recovery Audit Contractors (RACs) on Medicare claims paid under Part A or Part B of Title XVIII of the Social Security Act. The objective is to ensure...
This contract was awarded by the Department of Health and Human Services Centers for Medicare and Medicaid Services to CGS Administrators, LLC, a for-profit limited liability company. The contract is for Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) services and procurement services related to Medicare dependents. The contract is a definitive, cost-plus-award-fee contract with a potential value of $173,690,123.97 and a completion date of August 31, 2023. The contract...
This is a definitive contract award by the Centers for Medicare and Medicaid Services (CMS) to Arlluk Technology Solutions LLC, an 8(a) certified small disadvantaged business and subsidiary of Alaskan Native Corporation Koniag, Inc. The $9,328,060 firm-fixed-price contract supports the Medicare Fee-for-Service (FFS) Recovery Auditor Contractors (RACs) under the authority of the Social Security Act, Section 1893. This award will provide web-based system support to CMS's Center for Program...
Cotiviti GOV Services, LLC, a for-profit limited liability company, has been awarded a $11,827,320.60 sole-source definitive contract by the Centers for Medicare and Medicaid Services (CMS) to provide licensing and support for the proprietary STARSInformant data analysis software. STARSInformant is used by CMS to identify and combat healthcare fraud, waste, and abuse within the Medicare and Medicaid programs. The contract has a one-year base period and four one-year option periods, with a...
This is a $21,234,816.20 sole source federal contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Advancemed Corporation, a for-profit company owned by H.i.g. Capital Management Inc. The contract is for the ZONE 3 ZPIC Contractor Replacement and is categorized under the Major Program Code "ZONE 3 - REPLACEMENT CONTRACT - RFP-HHSM-500-2015-RFP-0103". It is a definitive, cost-plus-fixed-fee contract with an ultimate completion date of October 19, 2016. Advancemed...
This is a Blanket Purchase Agreement (BPA) call awarded by the Department of Veterans Affairs to Cotiviti GOV Services, LLC, a for-profit limited liability company. The $17,700 firm-fixed price contract is for commercial healthcare services, with an ultimate completion date of September 30, 2012. The contract has no set-aside designation. Cotiviti GOV Services, LLC is a subsidiary of HMS Holdings Corp., a for-profit organization that has received other federal contract awards. Cotiviti...
This federal contract award is for medical record review and auditing services to the Department of Health and Human Services (HHS) Office of the Inspector General (OIG). The contract, valued at $35,000.00, was awarded to Performant Recovery, Inc., a publicly traded company that specializes in healthcare program integrity and recovery auditing services. The contract is a firm-fixed-price Delivery Order with a completion date of June 1, 2025. This award is not a set-aside contract. Performant...
This is a $100,635,371.19 Definitive Contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Cotiviti GOV Services, LLC for Recovery Audit Contractor (RAC) services in Regions 3 and 4, and Region 5 which includes Durable Medical Equipment, Prosthetics, Orthotics, and Supply (DMEPOS) claims and Home Health/Hospice (HH/H) claims. The contract has a firm-fixed contingency fee pricing type and an 8.5-year base period from May 1, 2025 to October 30, 2033, with an 18-month administrative/appeals option period. This contract does not have a set-aside designation. The RAC services include reviewing Medicare Fee-for-Service claims to identify and correct improper payments, supporting the appeals process, and reporting review status to CMS. Cotiviti GOV Services, LLC is a for-profit limited liability company that has previously received other prime contracts from CMS, the Centers for Disease Control and Prevention, and the Department of Veterans Affairs.