Medical claims review services
Ended Awarded Last action
- Contract number
- HHSP233201600027B
- Awardee
-
Maximus Federal Services, Inc. UEI TREKW6J3QSF5 Part of Maximus Inc.
- Awarding agency
-
Office of the Inspector General
Department of Health and Human Services
- Task orders
- 62 $2,409,809 obligated
Award facts
- Opportunity
-
- TFTPMC000874B Solicitation number
- Combined order value
-
- $2,409,809 Current, with exercised options
- $2,547,406 Potential, with all options
- Last date to order 100% complete
- IDV ceiling 48% used
- $5,000,000.00
- Maximum order
- $250,000.00
- Award type
- Single award
- Who can order
- Only the awarding agency
- NAICS code
- 541611 Administrative Management and General Management Consulting Services
- PSC
- R499 Support- Professional: Other
- Set-aside
- No set-aside
- Competition
- Full and Open Competition · 1 offer Multiple Award, Fair Opportunity
- Pricing
- Firm Fixed Price
- Legislative mandates
-
- Service Contract Act FAR subpart 22.10
Award details come from SAM.gov/FPDS.
About this IDV
The Department of Health and Human Services Office of the Inspector General awarded a single-award Blanket Purchase Agreement valued at $5,000,000 to Maximus Federal Services, Inc. for medical claims review services, with an award date of September 28, 2016 and ultimate completion date of March 29, 2022. The contract was not set aside for any specific business category and was awarded on a full and open competition basis. Maximus Federal Services, a subsidiary of Maximus Inc., is a well-established government services provider specializing in comprehensive administrative, operational, and technical services to federal health and human services agencies. The prime contractor maintains its principal place of performance in Falls Church, Virginia, with additional work performed in Washington, D.C., Reston, Virginia, and Herndon, Virginia, reflecting the geographically distributed nature of the audit and review operations supporting the Office of Inspector General's oversight responsibilities.
Under this BPA, the Office of Inspector General issued numerous task orders throughout the contract period for specific medical claims and medical records review services supporting various audit initiatives and compliance functions. Task orders ranged from $4,026.70 to $165,240 and encompassed activities including medical record reviews for specified claim quantities, Spanish-language medical record reviews, Part C Medicare Advantage audits, Hierarchical Condition Category validation reviews, consultant support services, and specialized audit support such as Wage Index Data Exchange for Grievance and Reconsideration and Verification audits (WEDGE-RADV). The pricing structure was firm fixed price across all task orders, with work generally completed within three to twelve month performance periods. This BPA structure enabled the Office of Inspector General to efficiently procure specialized medical review expertise on an as-needed basis to support its broad audit portfolio across Centers for Medicare and Medicaid Services programs, leveraging Maximus's established capabilities in medical peer review and clinical evaluation services.
Task orders
Show 40 more
Latest 50 of 62 listed here. See the rest on GovTribe.
Transactions
| Action | Obligated | Date |
|---|---|---|
| Other Administrative Action | $0 | |
| Close Out | $0 | |
| Other Administrative Action | $0 | |
| Change Order | $0 | |
| Other Administrative Action | $0 | |
| Change Order | $0 | |
| Exercise an Option | $0 | |
| Exercise an Option | $0 | |
| Other Administrative Action | $0 | |
| Exercise an Option | $0 | |
| Transfer Action | $0 | |
| Exercise an Option | $0 | |
| Original award | $0 |
Show all 13
Quick answers
Who was awarded contract HHSP233201600027B?
HHSP233201600027B was awarded to Maximus Federal Services, Inc. by Office of the Inspector General (Department of Health and Human Services) on September 28, 2016.
How much is contract HHSP233201600027B worth?
Orders under HHSP233201600027B have obligated $2,409,809. Their combined potential value, with all options, is $2,547,406. HHSP233201600027B's own ceiling is $5,000,000. A single order can be worth up to $250,000.
How many orders have been placed under contract HHSP233201600027B?
62 orders have been placed under HHSP233201600027B, the latest on March 28, 2022.
Who can order from contract HHSP233201600027B?
HHSP233201600027B is a single award blanket purchase agreement. Only the awarding agency can place orders on it.
Is contract HHSP233201600027B under another contract?
Yes. HHSP233201600027B is a blanket purchase agreement under GS10F0085Y, a federal supply schedule, on The Professional Services Schedule (PSS).
Was contract HHSP233201600027B competed?
The extent of competition for HHSP233201600027B was full and open competition. The government received 1 offer.
On GovTribe
See this IDV's full record
- Every order and transaction
- The awardee's other awards and teaming partners
- Similar IDVs and recompete opportunities
- Ask GovTribe AI about this IDV