RADV Independent Coding Consultant (ICC)
Forecast New Requirement Updated
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Solicitation expected
- Estimated value
- $1,000,000 to $2,000,000
- Set-aside
- Competitive 8(a)
Forecast facts
- Anticipated award
- Through
- NAICS code
- 541219 Other Accounting Services
- Forecast number
- 270422
- Points of contact
Forecast details come from CMS's procurement forecast. Agencies' dates and values are estimates.
About this forecast
The Centers for Medicare and Medicaid Services (CMS) is forecasting a new requirement, described as a recompete, for Independent Coding Consultant (ICC) services supporting the Contract-Specific Risk Adjustment Data Validation (RADV) program within the Center for Program Integrity's efforts to protect Medicare Part C. The contractor will provide expert coding support and conduct independent research on coding questions from industry, CMS components, the Office of Inspector General, and the Department of Justice, with the goal of continuity and alignment of coding policy across CMS and HHS. CMS estimates the solicitation release for January 8, 2027 and award for May 8, 2027.
The procurement is a competitive 8(a) set-aside under NAICS 541219 (Other Accounting Services) with product or service code Q601, priced firm fixed price over a 5-year period of performance beginning May 8, 2027. The estimated award value range is $1 million to $2 million. Tracy Amos, Contracting Officer at CMS (tracy.amos1@cms.hhs.gov, +1 667-290-9676), and Alex Boucher at HHS.gov (alexander.boucher@cms.hhs.gov, +1 202-599-1676) are the listed points of contact.
Forecast text
This requirement is for the recompete for the RADV ICC Contract.
The purpose of this contract is to provide expert coding support for the Contract-Specific Risk Adjustment Data Validation (RADV) program in support of the Center for Program Integrity’s (CPI’s) efforts to safeguard the integrity of the Medicare Part C program. The Contractor will also be responsible for conducting independent research on coding questions originating from the industry, other components within CMS, the Office of Inspector General, (OIG) and the Department of Justice (DOJ). The desired outcome of this effort is to ensure continuity and alignment of coding policies across the agency and HHS.
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