This Government Contract opportunity from Department Of Health And Human Services was posted on April 23, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.
Medicare Improper Payment Data Analysis
Contract Overview
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AI Contract Overview
The contract seeks to analyze Medicare Fee-for-Service claims data to detect patterns of improper payments using CMS systems including IDRC, RACDW, FISS, and the CERT Dashboard. The work involves applying analytical methods to identify potential fraud, waste, and abuse within Medicare expenditures by leveraging existing federal data infrastructure to uncover discrepancies and systemic issues in claims processing. This effort supports oversight and integrity initiatives aimed at reducing financial losses in the Medicare program through targeted data-driven investigations. The contract is structured as a subcontract under the Department of Health and Human Services, specifically managed by the Office of Acquisition and Grants Management, with a NAICS code of 541618 indicating services in other scientific and technical consulting. The performance location is designated as St James, Maryland, with a response deadline of May 8, 2026, at 4:00 PM Eastern Time. Although no solicitation number is provided and details such as point of contact or set-aside status are unspecified, the opportunity is posted on SAM.gov and requires access to and expertise in federal healthcare claims systems to fulfill the obligations effectively.
General Info
Agency
NAICS
Place of Performance
St James, MD, 21244, USASet-Aside
Documents
This scope was carved out of 261097.
The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.
Medicare Fee-For-Service Corrective Action Strategic Analysis (CASA)
AI Contract Breakdown
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Timeline
Submission Closed
Organization & Contact Information
Full Description
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