Federal Bid

Last Updated on 21 Sep 2021 at 11 PM
Combined Synopsis/Solicitation
Baltimore Maryland

RAC Region 2

Solicitation ID 75FCMC21R0018
Posted Date 21 Sep 2021 at 11 PM
Archive Date 27 Oct 2021 at 4 AM
NAICS Category
Product Service Code
Set Aside No Set-Aside Used
Contracting Office Ofc Of Acquisition And Grants Mgmt
Agency Department Of Health And Human Services
Location Baltimore Maryland United states 21244

The Recovery Audit Program’s mission is to reduce Medicare improper payments through the efficient detection and correction of improper payments. The purpose of this statement of work (SOW) 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 (MACs) in RAC Region 2 (see map in the Appendices section). This excludes 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 an A/B 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 of the appeals process and reporting the status of all reviews by updating the RAC Data Warehouse (RACDW) and providing monthly reports in a timely, accurate, and efficient manner.

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