Risk Adjustment Data Validation (RADV) Appeals Support Contractor / New
Forecast Recompete 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
- Not on record
Forecast facts
- Incumbent contract
-
- GS10F0069X Federal IDV award held by A. Reddix & Associates Inc. Ordering ends Jan 11, 2031 · Ceiling $182,726,349
- Anticipated award
- NAICS code
- 541611 Administrative Management and General Management Consulting Services
- Points of contact
-
- Jennifer Kuhn jennifer.kuhn@cms.hhs.gov (410) 786-2299
- Crystal Southall-Norman crystal.southall-norman@cms.hhs.gov (410) 786-8708
Forecast details come from HHS's procurement forecast. Agencies' dates and values are estimates.
About this forecast
The Department of Health and Human Services' Centers for Medicare and Medicaid Services (CMS) forecasts a recompete for a Risk Adjustment Data Validation (RADV) Appeals Support contract under NAICS 541611, with estimated solicitation release on February 1, 2027 and estimated award on June 1, 2027. The contractor will provide legal and regulatory support for RADV activities in the Medicare Part C program with CPI, serving as the RADV Appeals Subject Matter Expert for first-level medical record review determination (MRRD) and payment error calculation (PEC) appeals, and supporting CPI at level two (Office of Hearings) and level three (CMS Office of the Attorney Advisor) appeals.
The estimated award value range is $20 million to $50 million, and the forecast identifies A. Reddix & Associates Inc. as the incumbent contractor. Points of contact are Jennifer Kuhn, Contracting Officer, at jennifer.kuhn@cms.hhs.gov or +1 410-786-2299, and Crystal Southall-Norman, listed under HHS.gov, at crystal.southall-norman@cms.hhs.gov or +1 410-786-8708.
Forecast text
The purpose of the Appeals Support contractor is to provide legal and regulatory support for the Risk Adjustment Data Validation (RADV) activities for the Medicare Part C program with CPI. The Appeals Support contract provides support for RADV appeals planning processing and reporting. The contractor functions as the RADV Appeals Subject Matter Expert for medical record review determination (MRRD) and payment error calculation (PEC) appeals at the first level of appeal at the first level of appeal. Additionally, the contractor provides support to CPI for appeals for levels two (Office of Hearings) and three (CMS Office of the Attorney Advisor).
On GovTribe
Work this forecast
- Track it in your pipeline
- Find teaming partners
- Similar forecasts
- Ask GovTribe AI about this forecast