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
- $1,500,000 to $3,000,000
- Set-aside
- Total Small Business
Forecast facts
- Anticipated award
- NAICS code
- 541219 Other Accounting 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 (CMS), within the Department of Health and Human Services, forecasts a Total Small Business set-aside requirement for RADV Independent Coding Consultant (ICC) services, with an estimated solicitation release on January 1, 2027 and an estimated award on May 1, 2027. The forecast is classified as a new requirement and described as a recompete of the RADV ICC Contract. The contractor will provide expert coding support for the Contract-Specific Risk Adjustment Data Validation (RADV) program within the Center for Program Integrity (CPI), safeguarding the integrity of the Medicare Part C program, and will conduct independent research on coding questions from industry, other CMS components, the Office of Inspector General (OIG), and the Department of Justice (DOJ). The stated objective is continuity and alignment of coding policies across the agency and HHS.
The estimated award value range is $1.5 million to $3 million under NAICS 541219, Other Accounting Services. Tracy Amos, Contracting Officer at Centers for Medicare & Medicaid Services (tracy.amos1@cms.hhs.gov, +1 667-290-9676), is the primary point of contact, and Alex Boucher, listed under HHS.gov (alexander.boucher@cms.hhs.gov, +1 202-599-1676), is the secondary 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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