RADV Professional Services
Forecast New Requirement Updated
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Solicitation expected
- Estimated value
- $20,000,000 to $50,000,000
- Set-aside
- Total Small Business
Forecast facts
- Anticipated award
- Through
- NAICS code
- Not on record
- Forecast number
- 270687
- Points of contact
-
- Taimyra Jones taimyra.jones@cms.hhs.gov
- Elliott Sloan elliott.sloan@cms.hhs.gov
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), within the Department of Health and Human Services, forecasts a new total small business requirement for RADV Professional Services, with an estimated solicitation release date of 2027-03-01 and an estimated award date of 2027-09-28. The services support CMS Level III final agency review of Medicare Advantage Risk Adjustment Data Validation (RADV) audit appeals, including document and case management, medical coding review, statistical analysis for payment error calculations, and legal expertise supporting the administrative adjudication process under section 1856(b)(1) of the Social Security Act and 42 C.F.R. 422.311. The forecasted action is a competitive GSA MAS order from the OSORA-OTAA center, procured as firm fixed price with a five-year length of contract.
The estimated award value range is $20 million to $50 million, with a current fiscal year value of at least $2 million and less than $5 million, and the period of performance starts 09/28/2027. Point of contact Elliott Sloan, Contracting Officer at the Centers for Medicare & Medicaid Services, can be reached at elliott.sloan@cms.hhs.gov or +14107860320. Taimyra Jones, listed under HHS.gov, can be reached at taimyra.jones@cms.hhs.gov or +14107867255.
Forecast text
Professional Support services for CMS Level III final agency review of Medicare Advantage Risk Adjustment Data Validation (RADV) audit appeals. Services include document and case management, medical coding review, statistical analysis for payment error calculations, and legal expertise to support the administrative adjudication process under section 1856(b)(1) of the Social Security Act and 42 C.F.R. § 422.311.
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