E.2 Q&A Template.xlsx

This file contains questions and answers related to a request for proposals from the Centers for Medicare and Medicaid Services for recovery audit services in Region 2. The solicitation seeks a contractor to perform recovery audit functions to reduce Medicare improper payments through the efficient detection and correction of improper payments of Medicare fee-for-service claims submitted to and paid by A/B Medicare Administrative Contractors in Region 2, excluding DMEPOS and HH/H claims. The selected contractor will review applicable claim types submitted to A/B MACs using appropriate review methods, work with CMS and MACs to adjust claims and recoup overpayments or pay underpayments, support the appeals process, and report review status by updating the RAC Data Warehouse and providing monthly reports. The period of performance and pricing terms are not specified in this template document.