D.5 Prime Proposal Checklist.docx

This document contains a proposal checklist and description for a federal contract solicitation to provide Recovery Audit Contractor (RAC) services for Medicare Fee-for-Service claims in Region 2. The proposal checklist requests information from prospective contractors such as company details, subcontractors if any, business size, tax identification number, and estimated productive hours for exempt and non-exempt employees. The solicitation description indicates the RAC will be responsible for detecting and correcting improper Medicare payments through post-payment reviews of claims submitted to Medicare Administrative Contractors in Region 2, excluding DMEPOS and HH/H claims. The RAC must review claims using appropriate methods and work with CMS and the MACs to adjust claims, recoup overpayments, pay underpayments, support the appeals process, and report review status by updating the RAC Data Warehouse and providing monthly reports. The issuing agency is the Department of Health and Human Services Centers for Medicare and Medicaid Services.