The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded a $22,851,645.00 Cost Plus Fixed Fee contract to Visual Axis LLC, a self-certified Small Disadvantaged Business, for Risk Adjustment Data Validation (RADV) services. The purpose of RADV is to measure the accuracy of diagnosis codes and their impact on payment for Medicare Advantage (MA) beneficiaries. The contract involves the evaluation and analysis of risk adjustment data through medical record...
This is a delivery order contract awarded by the Centers for Medicare & Medicaid Services (CMS) to Edaptive Systems, LLC, a small business subsidiary of ManTech International Corporation. The purpose of the $2,216,228.27 contract is for CMS to exercise its authority to use medical record review contractors to perform Risk Adjustment Data Validation (RADV) audits. RADV audits measure the extent to which inaccurate diagnosis codes impact CMS-HCC assignments and associated payments for Medicare...
This is a federal contract award from the Centers for Medicare and Medicaid Services (CMS), a civilian government agency, to Nextstep Technology Inc., a minority-owned small disadvantaged business. The contract is for medical record review services in support of the Risk Adjustment Data Validation (RADV) program, which is a major initiative at CMS. The award, valued at up to $28,143,361, was made as a delivery order under CMS's One Acquisition Solution for Integrated Services - Small Business...
This is a delivery order awarded by the Centers for Medicare and Medicaid Services (CMS), a civilian agency within the U.S. Department of Health and Human Services, to A. Reddix & Associates Inc., doing business as Ardx. The $34,022,106.97 contract is to provide support within Medicare Part C risk adjustment data validation (RADV) activities, support program integrity efforts for the health insurance exchanges, and conduct ad hoc analysis and research. The contract was awarded under the...
This is a delivery order contract awarded by the Centers for Medicare and Medicaid Services (CMS), an agency within the U.S. Department of Health and Human Services (HHS), to Newwave Telecom and Technologies, Inc., a minority-owned small business and disadvantaged business enterprise. The $29,233,347.08 firm fixed-price contract, which was awarded under the GSA IT Schedule 70 contract vehicle, provides information technology services and support for CMS's Risk Adjustment Data Validation (RADV)...
This is a $2,301,058.93 cost-plus-fixed-fee contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Reli Group Inc., a small disadvantaged business and 8(a) program participant. The contract is for the provision of RADV (Risk Adjustment Data Validation) medical record review services, which involve analyzing and validating Medicare Advantage program data. This is a definitive contract with an ultimate completion date of October 18, 2023. Reli Group is a key contractor for...
This is a $25,847,514.00 Delivery Order contract awarded by the Centers for Medicare and Medicaid Services (CMS) to KPMG LLP Federal Services, a subsidiary of the global professional services firm KPMG L.L.P. The contract is for Risk Adjustment Data Validation (RADV) services, which involves financial management, audit support, and program integrity services for CMS. The contract is not set aside for any specific business category. As a subcontractor, Visual Connections LLC, a HUBZone small...
This federal contract was awarded by the Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS) to Provider Resources Inc. (PRI), a woman-owned small business. The contract is for the RADV Medical Record Review Contractor (MRRC)-B, a program that provides independent medical record review services to support the Centers for Medicare and Medicaid Services' Risk Adjustment Data Validation (RADV) program. The contract has a potential value of $1,125,461.73 and is a...
This federal contract award to Deloitte Consulting LLP, with a ceiling value of $23,336,393.07, was issued by the Centers for Medicare and Medicaid Services (CMS) to serve as the Lead Analytical Contractor for Risk Adjustment Data Validation (RADV) activities. RADV is a key initiative by CMS to validate the inputs and outputs of Medicare Parts C and D payments and ensure payment accuracy, in compliance with the Improper Payments and Information Act. The contract requires Deloitte to coordinate...
The Centers for Medicare and Medicaid Services (CMS) awarded a $3,929,353.20 firm-fixed-price definitive contract to Radiant Infotech, LLC, a certified Economically Disadvantaged Women-Owned Small Business (EDWOSB) and 8(a) Program participant, to support the collection of data for risk adjustment and modification of risk-adjusted payments for Medicare Advantage (MA) plans. This contract, awarded on May 15, 2020, aims to facilitate a more efficient process for the receipt, response, and...