E.1 Proposed Contingency Fee.xlsx
XLSX spreadsheet 12 KB Posted
- Solicitation number
- 75FCMC25RJ003
About this file
This is a pricing template (Exhibit E.1) for proposing contingency fees for Recovery Audit Contractor (RAC) services across Regions 3, 4, and 5. The template requires bidders to propose a single contingency fee percentage that will apply across four categories of improper payment recovery: 1) automated review, 2) complex review, 3) CMS referrals requiring review, and 4) recoveries identified through extrapolation.
The contingency fee applies when CMS recovers overpayments or makes repayments for underpayments identified by the RAC through any of these methods. The template is structured identically for each region (3, 4, and 5), with each region requiring the same single fee percentage to be applied across all categories of review and recovery work.
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Text version
Region 3
| Exhibit E.1 | ||
| 75FCMC25RJ003 | ||
| RAC Region 3 | ||
| Please only propose one contingency fee that will be applied to all 4 categories | ||
| Category | Proposed Contingency Fee Percentage (%) | |
| Category 1 | When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the RAC through automated review | |
| Category 2 | When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the RAC through complex review | |
| Category 3 | When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the RAC after a CMS referral that required review of the issue | |
| Category 4 | When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the RAC through the use of extrapolation |
Region 4
| Exhibit E.1 | ||
| 75FCMC25RJ003 | ||
| RAC Region 4 | ||
| Please only propose one contingency fee that will be applied to all 4 categories | ||
| Category | Proposed Contingency Fee Percentage (%) | |
| Category 1 | When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the RAC through automated review | |
| Category 2 | When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the RAC through complex review | |
| Category 3 | When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the RAC after a CMS referral that required review of the issue | |
| Category 4 | When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the RAC through the use of extrapolation |
Region 5
| Exhibit E.1 | ||
| 75FCMC25RJ003 | ||
| RAC Region 5 | ||
| Please only propose one contingency fee that will be applied to all 4 categories | ||
| Category | Proposed Contingency Fee Percentage (%) | |
| Category 1 | When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the RAC through automated review | |
| Category 2 | When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the RAC through complex review | |
| Category 3 | When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the RAC after a CMS referral that required review of the issue | |
| Category 4 | When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the RAC through the use of extrapolation |
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