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This Government Contract opportunity from Department Of Health And Human Services was posted on June 11, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Program Integrity Medical Reviews

Closed
Federal

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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NAICS: 541611
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Pbs R4 (amd) Acquisition Management Division

POSTED

about 16 hours ago

DEADLINE

in 9 days

AI Contract Overview

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This contract entails performing detailed medical reviews aimed at identifying fraud, waste, and abuse within Medicare claims, thereby supporting the Centers for Medicare & Medicaid Services (CMS) in maintaining program integrity. The work is designated as a subcontract under the NAICS code 541611, which includes administrative management and general management consulting services. The Department of Health and Human Services, through its Office of Acquisition and Grants Management, is the agency overseeing this effort. The contract posting date is June 11, 2026, with a response deadline set for June 25, 2026, at 2:00 PM. The work will be performed primarily in St James, with a postal code of 21244. Although specific organizational types, set-aside classifications, and detailed point of contact information are not provided, the procurement focuses on ensuring that CMS programs reduce improper payments and improve Medicare claims processing integrity. This initiative contributes to safeguarding federal healthcare funds and enhancing the quality of service delivery in Medicare programs.

General Info

Perform medical reviews to detect Medicare fraud, supporting CMS program integrity, deadline June 25, 2026.

Agency

Department Of Health And Human Services → Ofc Of Acquisition And Grants ManagementView Agency

NAICS

541611 - Administrative Management and General Management Consulting ServicesView NAICS

Place of Performance

St James, MD, 21244, USA

Set-Aside

NONE

Documents

This scope was carved out of 270048.

The full solicitation package (4 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Supplemental Medical Review Contract

AI Contract Breakdown

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No contract breakdown available.

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Timeline

PhaseClosed
Posted

subcontract

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyDepartment Of Health And Human Services → Ofc Of Acquisition And Grants Management
ContactsNo contacts available
OfficeN/A
Organization / Agency
Department Of Health And Human Services → Ofc Of Acquisition And Grants Management
View Agency Profile
Office AddressN/A
ContactsNo contact information available

Full Description

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Perform medical reviews focused on detecting fraud, waste, and abuse in Medicare claims to support CMS program integrity initiatives.

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NAICS: 541512
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