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
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
Agency
NAICS
Place of Performance
St James, MD, 21244, USASet-Aside
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.
Supplemental Medical Review Contract
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Timeline
Submission Closed
Organization & Contact Information
Full Description
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