Recovery Audit Contractor Validation Contractor (RVC)
Closed Solicitation Posted
This opportunity was awarded. See the award notice from .
- Solicitation number
- 75FCMC20R0017-Solicitation
- Agency
- Centers for Medicare and Medicaid Services Department of Health and Human Services
- Responses due
- Set-aside
- Competitive 8(a)
Opportunity facts
- NAICS code
- 524298 All Other Insurance Related Activities
Notice details come from SAM.gov. Updated .
About this opportunity
The Centers for Medicare and Medicaid Services seeks to award a firm fixed price contract for Recovery Audit Contractor Validation Contractor services. The RVC will review claim determinations made by Recovery Audit Contractors on Medicare claims paid under Parts A and B to ensure claims were not improperly denied. The RVC must have medical, clinical, and coding staff to complete required reviews. Proposals will be evaluated on experience, past performance, and price, with submissions due by August 14, 2020.
The solicitation is set aside as an 8(a) competitive opportunity. The primary NAICS code is 541611 and PSC code R499. The contract will have a one year base period and four one year options, with performance taking place at the contractor's location. Pricing is established for six claim review functions and administrative tasks. The RVC must be capable of transitioning work to a new contractor at the end of the term.
Notice text
3 versions
Update #3 · Latest ·
Amendment 00002 - Correct travel assumption to match the previously updated SOW. The only attachement will be the revised RFP.
The Centers for Medicare & Medicaid Services (CMS) will be soliciting for the RVC. The primary purpose of the RVC is to review Recovery Auditor Contractors’ (RACs) claim determinations on Medicare claims that were paid under part A or B of title XVIII of the Social Security Act, and to ensure that the RACs are not necessarily denying Medicare claims that were properly paid.
Update #2 ·
Amendment 00001 - Revised RFP, Revised J.1 SOW, revised J.3 Contractor Business Ethics COI and Compliance Program Requirements, and the Questions and answers.
The Centers for Medicare & Medicaid Services (CMS) will be soliciting for the RVC. The primary purpose of the RVC is to review Recovery Auditor Contractors’ (RACs) claim determinations on Medicare claims that were paid under part A or B of title XVIII of the Social Security Act, and to ensure that the RACs are not necessarily denying Medicare claims that were properly paid.
Update #1 ·
The Centers for Medicare & Medicaid Services (CMS) will be soliciting for the RVC. The primary purpose of the RVC is to review Recovery Auditor Contractors’ (RACs) claim determinations on Medicare claims that were paid under part A or B of title XVIII of the Social Security Act, and to ensure that the RACs are not necessarily denying Medicare claims that were properly paid.
Attachments
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Notice history
| Notice | Type | Posted |
|---|---|---|
| Recovery Audit Contractor Validation Contractor (RVC) | Award Notice | |
| Recovery Audit Contractor Validation Contractor (RVC) | Solicitation | |
| Recovery Audit Contractor Validation Contractor (RVC) | Pre-Solicitation |
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