The cert program calculates BI-annual improper payment rates based on the results of the reviews conducted. These rates include an overall national medicare FFS improper payment rate and improper…

Active Awarded Last action

Contract number
HHSM500201600081G
Awardee
Awarding agency
Obligated
$230,202,371

Award facts

Opportunity
Contract value 100% obligated
$230,202,370.82 Current and potential, with all options
Completion date 90% complete
Current and potential, with all options
Set-aside
No set-aside
Competition
Full and Open Competition · 2 offers Multiple Award, Fair Opportunity
Pricing
Firm Fixed Price
Place of performance
Reston, VA 20190, USA
Legislative mandates

Award details come from SAM.gov/FPDS.

Transactions

Action Obligated Date
Other Administrative Action P00036 $0
Exercise an Option P00035 · Comprehensive error rate testing (cert) program to calculate the medicare fee-for-service (FFS) program improper payment rate $23,507,509
Supplemental Agreement for work within scope P00034 · Comprehensive error rate testing (cert) program review $0
Supplemental Agreement for work within scope P00032 · The purpose of this modification is to issue an updated payment schedule for clin 0016, optional task 29 - transition requirements outgoing due to the stop work… $0
Supplemental Agreement for work within scope P00031 · The purpose of this modification is to issue a stop work order on clin 0016, optional task 29 - transition requirements outgoing effective immediately. In… $0
Supplemental Agreement for work within scope P00030 · Exercise and fund clin 0016, optional task 29 - transition requirements outgoing. The fixed price for clin 0016 is $356,676.64. $356,677
Other Administrative Action P00029 · Key personnel and COR change $0
Supplemental Agreement for work within scope P00028 · Incorporate clin 0017, option year 10. The fixed price for clin 0017 is $22,085,658.55. Incorporate clin 0018, option year 10, olms, odcs and travel. The t &… $0
Supplemental Agreement for work within scope P00027 $0
Other Administrative Action P00026 $0
Other Administrative Action P00025 · EOI::implementing EO 14222 HHS cost efficiency initiative (march 19,2025)::EOI modification to descope and exercise option period 9 $21,930,224
Other Administrative Action P00024 $0
Supplemental Agreement for work within scope P00023 -$118,091
Exercise an Option P00022 $22,116,557
Supplemental Agreement for work within scope P00021 $54,518
Supplemental Agreement for work within scope P00020 $22,854,323
Other Administrative Action P00019 $0
Other Administrative Action P00018 $0
Other Administrative Action P00017 $0
Exercise an Option P00016 $21,488,354
Other Administrative Action P00015 -$113,028
Other Administrative Action P00014 · To select random claims from the medicare FFS to conduct medical reviews $0
Other Administrative Action P00013 · Update medical director $0
Supplemental Agreement for work within scope P00012 · Add funding to clin 0006 and establish new task 23 in the statement of work $1,099,026
Supplemental Agreement for work within scope P00011 · Establish and exercise clin 0006 for option year 5 $21,584,063
Other Administrative Action P00010 · Revise COR and acor $0
Supplemental Agreement for work within scope P00009 · Add task 30 for CDM work $592,464
Supplemental Agreement for work within scope P00008 · Exercise option year 4, modify task 19 and descope task 9 $17,734,085
Other Administrative Action P00007 · Incorporate mandatory contractor training clause $0
Other Administrative Action P00006 $0
Exercise an Option P00005 $19,474,400
Supplemental Agreement for work within scope P00004 $538,540
Other Administrative Action P00003 $0
Exercise an Option P00002 $18,524,234
Supplemental Agreement for work within scope P00001 $253,130
Supplemental Agreement for work within scope 3 $18,684,039
Additional Work (new agreement, FAR part 6 applies) 2 $129,846
Supplemental Agreement for work within scope 1 $175,577
Original award $19,335,921
Show all 39

About this award

Written by GovTribe AI ·

The Centers for Medicare and Medicaid Services issued a delivery order to Empower AI, Inc., a HUBZone-certified joint venture, on August 17, 2016, with a ceiling value of $230.2 million for Comprehensive Error Rate Testing (CERT) Program support through November 21, 2027.

The order is issued under the Professional Services Schedule (PSS). CERT calculates bi-annual improper payment rates across Medicare Fee-for-Service claim types—Part A inpatient hospital prospective payment system, Part A excluding inpatient hospital, Part B, and durable medical equipment, prosthetics, orthotics, and supplies—based on statistically valid random samples. CMS uses these rates to support corrective actions reducing improper payments and performs special studies and supplemental measurements on particular claim types.

Place of performance is Reston, VA 20190. The order is priced firm fixed price with no set-aside.

Subcontractors include CCH Incorporated (healthcare regulatory compliance analysis and Medicare claims review), MCG Health, LLC (evidence-based care guidelines and utilization management software), and Serco Inc. (staff augmentation), along with a multi-vendor technical and compliance support team.

Service Contract Inventory data shows the order invoiced $21.9 million across 116 FTEs and 241,754 contractor hours in FY2025, with a derived government-paid rate of $90.78 per hour. Subcontractors accounted for 3 percent of contractor hours. Across reported fiscal years FY2021–FY2025, invoiced labor remained stable between $18.3 million and $22.6 million annually, with FTEs ranging from 115 to 144 and government-paid rates trending upward from $76.52 per hour to $90.78 per hour.

Description

As the agency reported it.

The cert program calculates BI-annual improper payment rates based on the results of the reviews conducted. These rates include an overall national medicare FFS improper payment rate and improper payment rates for each claim type [part a inpatient hospital prospective payment system (PPS); part a excluding inpatient hospital PPS; part b; and durable medical equipment, prosthetics, orthotics, and supplies (dmepos)]. The cert program ensures a statistically valid random sample; therefore, the improper payment rate calculated from this sample is considered to be reflective of all of claims processed by medicare FFS program during the report period. CMS also uses the cert program to perform special studies and supplemental measurements to determine the improper payment rates of particular claim types. Calculations of these rates facilitate CMS ability to take appropriate corrective actions to reduce improper payments.

Subawards

Subcontractor Amount Awarded
Incontact Inc. IGF::OT::IGF THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. THESE RATES INCLUDE AN OVERALL NATIONAL… $41,670
CCH Incorporated IGF::OT::IGF THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. THESE RATES INCLUDE AN OVERALL NATIONAL… $206,250
SHI International Corp IGF::OT::IGF THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. THESE RATES INCLUDE AN OVERALL NATIONAL… $142,169
CCH Incorporated IGF::OT::IGF the cert program calculates BI-annual improper payment rates based on the results of the reviews conducted. These rates include an overall national… $136,178
MCG Health, Llc. IGF::OT::IGF THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. THESE RATES INCLUDE AN OVERALL NATIONAL… $109,373
Serco Inc. IGF::OT::IGF THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. THESE RATES INCLUDE AN OVERALL NATIONAL… $782,694
MCG Health, Llc. TO SELECT RANDOM CLAIMS FROM THE MEDICARE FFS TO CONDUCT MEDICAL REVIEWS Milliman Software $121,838
Iviz Group Inc. TO SELECT RANDOM CLAIMS FROM THE MEDICARE FFS TO CONDUCT MEDICAL REVIEWS iDashboard $38,109
Incept Data Solutions Inc. TO SELECT RANDOM CLAIMS FROM THE MEDICARE FFS TO CONDUCT MEDICAL REVIEWS Services in support of Comprehensive Error Rate Testing Review Contractor (CERT) $236,516
Conviso Inc. IGF::OT::IGF THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. THESE RATES INCLUDE AN OVERALL NATIONAL… $1,459,959
Catapult Consultants LLC TO SELECT RANDOM CLAIMS FROM THE MEDICARE FFS TO CONDUCT MEDICAL REVIEWS Certified Error Rate Testing (CERT) professional support services $122,064
Relis, LLC TO SELECT RANDOM CLAIMS FROM THE MEDICARE FFS TO CONDUCT MEDICAL REVIEWS Computer Systems Design Services $2,463,529
Analytica LLC TO SELECT RANDOM CLAIMS FROM THE MEDICARE FFS TO CONDUCT MEDICAL REVIEWS Computer Systems Design Services $683,581
Computer Evidence Specialists, LLC TO SELECT RANDOM CLAIMS FROM THE MEDICARE FFS TO CONDUCT MEDICAL REVIEWS Computer Systems Design Services $1,867,809
Show all 14

Quick answers

Who was awarded contract HHSM500201600081G?

HHSM500201600081G was awarded to Empower AI, Inc. by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on August 17, 2016.

How much is contract HHSM500201600081G worth?

The government has obligated $230,202,371 on HHSM500201600081G.

Is contract HHSM500201600081G an order under another contract?

Yes. HHSM500201600081G is a delivery order under GS00F263CA, a federal supply schedule, on The Professional Services Schedule (PSS).

Was contract HHSM500201600081G competed?

The extent of competition for HHSM500201600081G was full and open competition. The government received 2 offers.

On GovTribe

See this award's full record

  • Every transaction and funding action
  • The awardee's other awards and teaming partners
  • Similar awards and recompete opportunities
  • Ask GovTribe AI about this award
Try for free Login