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 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 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., a for-profit organization specializing in recovery auditing, improper payment identification, and debt collection services. The contract, valued at $51,500.00, is for medical record review, audit, and consultative services to identify overpayments, detect fraud, waste, and abuse, and ensure financial accountability in government...
This is a firm-fixed-price delivery order contract awarded by the Office of the Inspector General (OIG) within the U.S. Department of Health and Human Services (HHS) to Performant Recovery, Inc., a for-profit organization that provides recovery auditing, improper payment identification, and debt collection services. The $41,500 contract is for medical record review, audit, and consultative services to support OIG's oversight activities for Medicare and Medicaid programs. This includes...
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...
This is a federal contract award from the Centers for Medicare and Medicaid Services (CMS), a civilian agency within the Department of Health and Human Services. The contract, which has a ceiling value of $970,767,109.31, was awarded to the prime contractor Novitas Solutions, Inc. on September 17, 2012 and has an ultimate completion date of January 31, 2022. The contract is a Definitive Contract with a Cost Plus Award Fee pricing type, and no set-aside designation was used. Novitas Solutions,...
This is a $51,500.00 Firm Fixed Price delivery order contract awarded by the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) to Performant Recovery, Inc., a for-profit organization. The contract is for nationwide medical record review services related to hospice care. It is not a set-aside contract. The contract is part of larger IDIQ contract vehicles between Performant Recovery and the OIG, valued at $7.75 million each, which enable the OIG to issue...
This is a federal contract award to Performant Recovery, Inc., a for-profit organization that specializes in recovery auditing, improper payment identification, and debt collection services for government agencies and healthcare providers. The contract is a Delivery Order with a Firm Fixed Price pricing type, valued at $51,500.00, and has an ultimate completion date of December 15, 2025. The contract was awarded by the U.S. Department of Health and Human Services (HHS) Office of the Inspector...
This contract was awarded by the Centers for Medicare and Medicaid Services (CMS) to Performant Recovery, Inc., a publicly traded company that specializes in recovery auditing, improper payment identification, and debt collection services for government agencies and commercial providers. The contract is for the Medicare Secondary Payer Commercial Repayment Center (MSP CRC) and has a ceiling value of $165,349,353. It is a Firm Fixed Price Delivery Order issued under Performant's Multiple Award...
This federal contract award is for medical record review, audit, and consultative services to support oversight of Medicare and Medicaid programs. The contract was awarded to Performant Recovery, Inc., a publicly traded company that specializes in recovery auditing, improper payment identification, and debt collection services for government agencies and commercial providers. The contract was awarded by the U.S. Department of Health and Human Services (HHS) Office of the Inspector General...
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 improper payments, and work with CMS and Medicare Administrative Contractors to adjust claims, recoup overpayments, and pay underpayments. The scope includes reviewing all provider types such as hospitals, skilled nursing facilities, home health, hospice, and durable medical equipment suppliers, with a focus on Durable Medical Equipment, Prosthetics, Orthotics, and Supply claims, and Home Health/Hospice claims in Region 5.