Amendment_000005_Exhibit_E.1_-_Proposed_Contingency_Fee.xlsx

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Attached to
Recovery Audit Contract (RAC) Federal contract opportunity
Solicitation number
HHSM-500-2016-RFP-0003
Issued by
Department of Health and Human Services Centers for Medicare and Medicaid Services

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Amendment 000005

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Text version

Proposed Contingency Fee

HHSM-500-2016-RFP-0003
Contractor Name
Region 1Proposed Contingency Fee
Category 1When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor through automated review
Category 2When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor through complex review
Category 3When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor after a CMS referral that required review of the issue
Category 4When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor through the use of extrapolation
AverageERROR:#DIV/0!* Do not round proposed fees/or total average there should be a two decimal places
Region 2Proposed Contingency Fee
Category 1When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor through automated review
Category 2When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor through complex review
Category 3When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor after a CMS referral that required review of the issue
Category 4When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor through the use of extrapolation

Average ERROR:#DIV/0! * Do not round proposed fees/or total average there should be a two decimal places

Region 3Proposed Contingency Fee
Category 1When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor through automated review
Category 2When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor through complex review
Category 3When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor after a CMS referral that required review of the issue
Category 4When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor through the use of extrapolation
AverageERROR:#DIV/0!* Do not round proposed fees/or total average there should be a two decimal places
Region 4Proposed Contingency Fee
Category 1When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor through automated review
Category 2When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor through complex review
Category 3When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor after a CMS referral that required review of the issue
Category 4When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor through the use of extrapolation
AverageERROR:#DIV/0!* Do not round proposed fees/or total average there should be a two decimal places
Region 5Proposed Contingency Fee
Category 1When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor through automated review
Category 2When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor through complex review
Category 3When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor after a CMS referral that required review of the issue
Category 4When recovery (of overpayments) or repayment (of underpayments) is made by CMS on an improper payment identified by the Recovery Auditor through the use of extrapolation

Average ERROR:#DIV/0! * Do not round proposed fees/or total average there should be a two decimal places

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