Delivery Order VA741P0027-VA583C26023

This multi-year task order, awarded by the Centers for Medicare and Medicaid Services to Ohio Kepro LLC under the Beneficiary and Family Centered Care Quality Improvement Organization indefinite-delivery/indefinite-quantity contract vehicle, provides $0 in potential value for claim review services to decrease the paid claims error rate and address medical review as part of the Beneficiary Oversight: Claim Review program. Kepro will perform the work as a subcontractor to Keystone Peer Review...

The Centers for Medicare and Medicaid Services awarded a $32.2 million definitive contract to Performant Recovery, Inc. for recovery audit services in Region 2 on March 24, 2022, under a firm fixed-price structure with no set-aside. The contract extends through January 3, 2033. The originating solicitation seeks reduction of improper Medicare Fee-for-Service payments through detection and correction of overpayments and underpayments on claims submitted to Medicare Administrative Contractors in...

Reed & Associates, Cpas, Inc. was awarded a $21.7 million delivery order under the Professional Services Schedule contract vehicle to provide retroactive processing and payment validation services for the Centers for Medicare and Medicaid Services. As a total small business set-aside, this firm fixed price order calls for the woman-owned subchapter S corporation to support the agency's retroactive claims processing and validation efforts in accordance with the schedule's terms and...

The Centers for Medicare and Medicaid Services (CMS) awarded a delivery order valued at approximately $20.8 million to Reed & Associates, CPAs, Inc., an SBA-certified Women-Owned Small Business based in Manassas, Virginia. This firm fixed-price contract covers retroactive processing and payment validation services, with an ultimate completion date of July 2, 2028. The award represents the exercise of Option Period 2 under CLIN 0006 and was issued on July 3, 2023. No set-aside designation was...

This is a firm-fixed-price purchase order contract awarded by the Indian Health Service (IHS), a civilian agency within the U.S. Department of Health and Human Services, to Claim Revolution, LLC, a woman-owned small business and HUBZone firm. The contract is for secure data exchange software to perform third-party insurance claims processing for Medicare, Medicaid, VA, and commercial payers. The contract has a ceiling value of $33,153.79 and a period of performance through July 31, 2030. The...

The Centers for Medicare and Medicaid Services (CMS) awarded a delivery order valued at $165.3 million to Performant Recovery, Inc. for the Medicare Secondary Payer Commercial Repayment Center (MSP CRC) contract, with an award date of February 9, 2023 and ultimate completion date of February 8, 2029. This firm fixed-price delivery order is performed in Livermore, California and was not designated as a set-aside. The MSP CRC contract supports CMS's mission to identify and recover improper...

The Centers for Medicare and Medicaid Services awarded a $1.149 billion definitive contract on firm fixed price basis to Healthedge Software, Inc. on May 29, 2026, to replatform its Medicare Fee-for-Service claims adjudication environment. The project replaces four legacy COBOL-based systems: the Multi-Carrier System (MCS), Fiscal Intermediary Shared System (FISS), Remittance Advice Processing System (RAPS), and Common Working File (CWF). Place of performance is Boston, MA. The contract runs...

The Indian Health Service awarded a $7,867 firm fixed-price purchase order to Claim Revolution, LLC, an SBA-certified women-owned small business and HUBZone firm, for clearinghouse services supporting the Wagner IHS Healthcare Center in South Dakota. The contract, awarded July 11, 2025, with an ultimate completion date of June 25, 2030, will deliver insurance verification and patient eligibility services for the Yankton Sioux Reservation. The solicitation was designated as a Total Small Business...

The Department of Health and Human Services Office of the Inspector General awarded a $41,500 delivery order to Performant Recovery, Inc. on March 12, 2026, for healthcare program integrity services related to the Compliance Bensonhurst (Anderson) initiative. The contract is structured as a Firm Fixed Price delivery order with an ultimate completion date of December 31, 2027, and will be performed in Livermore, California. This award was made without a set-aside designation through competitive...

The Centers for Medicare and Medicaid Services (CMS) awarded a delivery order valued at $43.4 million to Acumen LLC (doing business as Medric) on September 18, 2017, for payment reconciliation services related to the Bundled Payments for Care Improvement Advanced (BPCI Advanced) program. This task order falls under the Research Measurement Assessment Design and Analysis (RMADA) master IDIQ contract and is structured as a cost-plus-fixed-fee engagement with an ultimate completion date of August...