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...
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 $13,400,487.00 Firm Fixed Price definitive contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Performant Recovery, Inc. to provide Recovery Audit Contractor (RAC) services for Medicare Fee-for-Service claims in Region 2. The contract has an ultimate completion date of January 3, 2033 and was awarded on March 24, 2022. Performant Recovery, a publicly traded company specializing in recovery auditing and debt collection services, will review claims submitted to...
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 $64,308,683.75 firm-fixed price delivery order contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Cotiviti GOV Services, LLC for Health Coverage Verification (HCV) services. The contract provides automated verification of critical data supplied by consumers during interactions with CMS on various exchange programs. This delivery order is part of a larger Multiple Award Schedule (MAS) contract vehicle. The contract has no set-aside designation. Cotiviti GOV...
This is a federal contract award by the Centers for Medicare and Medicaid Services (CMS) to Optumserve Technology Services, Inc., a subsidiary of UnitedHealth Group Incorporated. The contract is a Delivery Order under the CMS Enterprise System Development (ESD) Indefinite Delivery/Indefinite Quantity (IDIQ) contract vehicle. The contract has a total ceiling value of $34,838,042.26 and is a Cost Plus Award Fee type contract. The award is not designated as a set-aside contract. The contract is for...
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 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 is a delivery order contract awarded by the Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS) to Cotiviti GOV Services, LLC for the Health Coverage Verification (HCV) project. The contract has a base year period of performance from February 1, 2018 to September 30, 2018, with initial funding of $2,983,422.45. The total potential value of the contract is $15,707,915.50. This contract was awarded under the General Services Administration's (GSA)...
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 $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 with an 18-month administrative/appeals option period. The award is not associated with a set-aside program. Cotiviti GOV Services has previously received other prime contracts from CMS, the Centers for Disease Control and Prevention, and the Department of Veterans Affairs for various healthcare data analytics and verification services.