GS00F263CA-HHSM500201600081G
Delivery Order
Overview
Government Description
THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. THESE RATES INCLUDE AN OVERALL NATIONAL MEDICARE FFS IMPROPER PAYMENT RATE AND IMPROPER PAYMENT RATES FOR EACH CLAIM TYPE [PART A INPATIENT HOSPITAL PROSPECTIVE PAYMENT SYSTEM (PPS); PART A EXCLUDING INPATIENT HOSPITAL PPS; PART B; AND DURABLE MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS, AND SUPPLIES (DMEPOS)]. THE CERT PROGRAM ENSURES A STATISTICALLY VALID RANDOM SAMPLE; THEREFORE, THE IMPROPER PAYMENT RATE CALCULATED FROM THIS SAMPLE IS CONSIDERED TO BE REFLECTIVE OF ALL CLAIMS PROCESSED BY THE MEDICARE FFS PROGRAM DURING THE REPORT PERIOD. CMS ALSO USES THE CERT PROGRAM TO PERFORM SPECIAL STUDIES AND SUPPLEMENTAL MEASUREMENTS TO DETERMINE THE IMPROPER PAYMENT RATES OF PARTICULAR CLAIM TYPES, AND CALCULATIONS OF THESE RATES FACILITATE CMS ABILITY TO TAKE APPROPRIATE CORRECTIVE ACTIONS TO REDUCE IMPROPER PAYMENTS. ADDITIONAL WORK PERFORMED INCLUDES CONDUCTING MEDICAL REVIEWS OF RANDOMLY SELECTED MEDICARE FFS CLAIMS, PROVIDING PROFESSIONAL SUPPORT SERVICES, MEDICAL REVIEW SUPPORT, AND COMPUTER SYSTEMS DESIGN SERVICES IN SUPPORT OF THE COMPREHENSIVE ERROR RATE TESTING REVIEW CONTRACTOR (CERT), AS WELL AS THE USE OF SPECIALIZED SOFTWARE SUCH AS MILLIMAN AND MEDIREGS.
Alternate Description
PSS CMS CERT
Awardee
Awarding / Funding Agency
Place of Performance
Reston, VA 20190 United States
Pricing
Fixed Price
Set Aside
None
Extent Competed
Full And Open Competition
Related Opportunity
Analysis Notes
Forecast Listed as the incumbent award in contract forecast Comprehensive Error Rate Testing Review Contractor.
Amendment Since initial award the Potential End Date has been extended from 08/11/19 to 11/21/27 and the Potential Award value has increased 143% from $94,849,773 to $230,202,371.
Amendment Since initial award the Potential End Date has been extended from 08/11/19 to 11/21/27 and the Potential Award value has increased 143% from $94,849,773 to $230,202,371.
Empower AI was awarded
Delivery Order HHSM500201600081G HHSM500201600081G
for PSS CMS CERT
worth up to $230,202,371
by the CMS Office of Acquisition and Grants Management
in August 2016.
The contract
has a duration of 11 years 3 months and
was awarded
through solicitation Professional Service Schedule
full & open
with
NAICS 541611 and
PSC B537
via subject to multiple award fair opportunity acquisition procedures with 2 bids received.
As of today, the Delivery Order has a total reported backlog of $23,864,186.
This contract was awarded through vehicle Multiple Award Schedule (MAS).
Status
(Open)
Last Modified 11/4/25
Period of Performance
8/17/16
Start Date
8/15/26
Current End Date
11/21/27
Potential End Date
Obligations and Backlog
$206.3M
Total Obligated
$206.3M
Current Award
$230.2M
Potential Award
$0.0
Funded Backlog
$23.9M
Total Backlog
Award Hierarchy
Vehicle
Federal Supply Schedule
Delivery Order
GS00F263CA-HHSM500201600081G
Subcontracts
Activity Timeline
Labor Services Billing
Annual labor billing rates and FTE reported for GS00F263CA-HHSM500201600081G
| Year | Services Invoiced | Hours | FTE | Blended Rate |
|---|---|---|---|---|
| 2017 | $19,537,346 | 248,394.0 | 119.4 | $78.65 |
| 2018 | $18,883,055 | 227,377.0 | 109.3 | $83.05 |
| 2019 | $19,062,774 | 237,861.0 | 114.4 | $80.14 |
| 2020 | $19,474,400 | 257,736.9 | 123.9 | $75.56 |
| 2021 | $18,326,549 | 239,504.1 | 115.1 | $76.52 |
| 2022 | $22,569,588 | 256,635.0 | 123.4 | $87.94 |
| 2023 | $21,482,572 | 282,760.0 | 135.9 | $75.97 |
| 2024 | $22,558,202 | 299,783.9 | 144.1 | $75.25 |
Subcontract Awards
Disclosed subcontracts for GS00F263CA-HHSM500201600081G
Opportunity Lifecycle
Procurement history for GS00F263CA-HHSM500201600081G
Transaction History
Modifications to GS00F263CA-HHSM500201600081G
People
Suggested agency contacts for GS00F263CA-HHSM500201600081G
Competition
Number of Bidders
2
Solicitation Procedures
Subject To Multiple Award Fair Opportunity
Evaluated Preference
None
Commercial Item Acquisition
Commercial Item
Simplified Procedures for Commercial Items
No
Other Categorizations
Subcontracting Plan
Not Required
Cost Accounting Standards
Exempt
Business Size Determination
Large Business
Awardee UEI
HC6QJAM2F4E3
Awardee CAGE
0MX49
Agency Detail
Awarding Office
75FCMC OFC OF ACQUISITION AND GRANTS MGMT
Funding Office
75FCMC
Created By
hhsjruchin
Last Modified By
hhsnparish
Approved By
hhsnparish
Legislative
Legislative Mandates
Labor Standards
Performance District
VA-11
Senators
Mark Warner
Timothy Kaine
Timothy Kaine
Representative
Gerald Connolly
Budget Funding
| Federal Account | Budget Subfunction | Object Class | Total | Percentage |
|---|---|---|---|---|
| Health Care Fraud and Abuse Control Account, Health and Human Services (075-8393) | Medicare | Other services from non-Federal sources (25.2) | $157,250,635 | 100% |
Modified: 11/4/25