Recovery Audit Contractor Validation Contractor (RVC)
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The Centers for Medicare & Medicaid Services (CMS) is conducting a full and open 8(a) competitive procurement for the Recovery Audit Contractor Validation Contractor (RVC) under solicitation number 75FCMC20R0017. The primary role of the RVC is to review Medicare claim determinations made by Recovery Audit Contractors (RACs) on claims paid under Medicare Parts A and B, ensuring that RACs are not improperly denying claims that were correctly paid. This requirement is categorized under NAICS code 524298, "All Other Insurance Related Activities," with a size standard of $15 million. CMS plans to award one firm-fixed-price contract. Prospective offerors must be registered in the System for Award Management (SAM) to participate. The solicitation was expected to be released around July 6, 2020, with proposals due 30 days after issuance, and all information including amendments will be solely disseminated through the Federal Business Opportunities website at beta.SAM.gov. Interested parties are responsible for monitoring this site for updates as no telephone or written requests for the solicitation will be accepted. Contractors must ensure they are free of conflicts of interest; if any actual, potential, or apparent organizational conflicts exist, an appropriate mitigation plan must be developed. The procurement is managed by the Office of Acquisition and Grants Management within the Department of Health and Human Services, based in Baltimore, MD, with points of contact available via email.
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