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HEALTH AND HUMAN SERVICES, DEPARTMENT OF | CENTERS FOR MEDICARE AND MEDICAID SERVICES has floated a tender for Recovery Audit Contractor (RAC) Regions 3, 4, & 5. The project location is USA and the tender is closing on 18 Feb 2025. The tender notice number is 75FCMC25RJ003, while the TOT Ref Number is 114260608. Bidders can have further information about the Tender and can request the complete Tender document by Registering on the site.
Procurement Summary
Country : USA
Summary : Recovery Audit Contractor (RAC) Regions 3, 4, & 5
Deadline : 18 Feb 2025
Other Information
Notice Type : Tender
TOT Ref.No.: 114260608
Document Ref. No. : 75FCMC25RJ003
Competition : ICB
Financier : Self Financed
Purchaser Ownership : Public
Tender Value : Refer Document
Purchaser's Detail
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Description
The Recovery Audit Program-s mission is to reduce Medicare improper payments through the efficient detection and correction of improper payments. This requirement includes all tasks and responsibilities associated with the review of Medicare Fee-for-Service (FFS) claims submitted to, and paid by, the A/B Medicare Administrative Contractors (MAC) in RAC Regions 3 and 4, and Region 5 which includes Durable Medical Equipment, Prosthetics, Orthotics, and Supply (DMEPOS) claims and Home Health/Hospice (HH/H) claims. The RAC shall review all applicable claim types submitted to a MAC through the appropriate review methods and work with the Centers for Medicare & Medicaid Services (CMS) and MACs to effectuate the adjustment of claims, recoupment of overpayments, payment of underpayments, support the appeals process and report the status of all reviews by updating the RAC Data Warehouse (RACDW) and providing monthly reports.
The RACs review all applicable claim types submitted to an A/B MAC through the CMS approved review methods and work with CMS and MACs to adjust claims appropriately based on review findings, support the appeals process, and report all statuses. To facilitate the review and adjudication of claims, the RACs are required to have Joint Operating Agreements (JOAs) with all applicable Medicare contractors (MACs, UPICs, QICs, AdQIC) and any other CMS partners as instructed by CMS
Active Contract Opportunity
Notice ID : 75FCMC25RJ003
Related Notice
Department/Ind. Agency : HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Sub-tier : CENTERS FOR MEDICARE AND MEDICAID SERVICES
Office: OFC OF ACQUISITION AND GRANTS MGMT
General Information
Contract Opportunity Type: Combined Synopsis/Solicitation (Updated)
Updated Published Date: Feb 04, 2025 02:40 pm EST
Original Published Date: Nov 22, 2024 10:04 am EST
Updated Date Offers Due: Feb 18, 2025 09:00 am EST
Original Date Offers Due: Jan 06, 2025 09:00 am EST
Inactive Policy: 15 days after date offers due
Updated Inactive Date: Mar 05, 2025
Original Inactive Date: Jan 21, 2025
Initiative: None
Classification
Original Set Aside:
Product Service Code: R704 - SUPPORT- MANAGEMENT: AUDITING
NAICS Code: 561440 - Collection Agencies
Place of Performance: USA
Documents
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