RADV Professional Services
Type: Forecast • Source ID: 270687
Overview
Description
Professional Support services for CMS Level III final agency review of Medicare Advantage Risk Adjustment Data Validation (RADV) audit appeals. Services include document and case management, medical coding review, statistical analysis for payment error calculations, and legal expertise to support the administrative adjudication process under section 1856(b)(1) of the Social Security Act and 42 C.F.R. 422.311.
Est. Value
Min: $20,000,000
Max: $50,000,000
Max: $50,000,000
Est. Award Date
09/28/2027
Future Opp
Source Est. Solicitation Date
03/01/2027
Set Aside
Small Business Set-Aside -- Total
Pricing
Firm Fixed Price
Procurement Method
Competitive
Forecast Type
Gsa Mas Order - Competitive
Place of Performance
USA
Centers for Medicare and Medicaid Services is forecasted to issue a procurement for RADV Professional Services around 09/28/2027 worth up to $50,000,000.
Agency
Source Level 1 Agency
Department of Health and Human Services
Source Level 2 Agency
CMS
Source Level 3 Agency
OSORA - OTAA
Contacts
Potential Bidders and Partners
Similar Active Opportunities
Additional Detail
Date Published
11/6/26
Date Modified
11/7/26
Source Est. Period of Performance Start
9/28/27
Additional Notes
Program contact: Taimyra Jones, taimyra.jones@cms.hhs.gov, 410-786-7255; Contracting office: 7500-7530-00500; OAGM division: AGG - DBSC; Duration: 5 Years; Current FY value: >= $2M and < $5M.
Source Forecast ID
270687