Medicare Fee-For-Service Corrective Action Strategic Analysis
Past Recompete Updated
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Solicitation expected
- Estimated value
- $1,500,000 to $3,000,000
- Set-aside
- Total Small Business
Forecast facts
- Incumbent contract
-
- 75FCMC24C0030 Federal contract award held by Epathusa, Inc. Ends Mar 12, 2027 · Value with all options $5,651,783 · Set aside: 8(a) Sole Source
- Anticipated award
- NAICS code
- 541611 Administrative Management and General Management Consulting Services
- Points of contact
Forecast details come from HHS's procurement forecast. Agencies' dates and values are estimates.
About this forecast
The Centers for Medicare and Medicaid Services is conducting a recompete for Medicare Fee-for-Service Corrective Action Strategic Analysis, a total small business set-aside forecasted to release by August 1, 2026, with an estimated award date of September 1, 2026. The effort reduces Medicare FFS improper payments by analyzing service types, error categories, and legislative shifts through CERT analytics and Corrective Action Plans, targeting high-impact auditable areas. The program evaluates CPI prepay activities (TPE, PA) and post-pay activities (UPICs, RACs) via stakeholder interviews and RACDW data, with strategic assessments aligned to optimize ROI through audits, regulatory adjustments, and reporting.
The estimated award value ranges from $1.5 million to $3 million. Work is performed at West Des Moines, Iowa. Narcessa Davis (narcessa.davis@cms.hhs.gov) and Jennifer Kuhn, Contracting Officer (jennifer.kuhn@cms.hhs.gov, 410-786-6299), serve as points of contact.
The existing award, contract number 75FCMC24C0030, was made to ePathUSA, Inc. on September 13, 2024, under an 8(a) sole-source set-aside with a ceiling value of $4,476,486 on a firm fixed-price basis. The incumbent contract runs through September 12, 2026.
Forecast text
This initiative reduces Medicare FFS improper payments via CERT analytics and Corrective Action Plans. We analyze service types, error categories, and legislative shifts to target high-impact areas. Provider tools are enhanced with education addressing root causes. The program evaluates CPI prepay (TPE, PA) and post-pay (UPICs, RACs) activities via stakeholder interviews and RACDW data. Strategic assessments align findings to optimize ROI through audits, regulatory adjustments, and reporting.
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