# Recovery Audit Contractor (RAC) Regions 3, 4, & 5

Canonical: https://abierto.us/opportunities/75fcmc25rj003

- Solicitation number: 75FCMC25RJ003
- Notice type: Combined synopsis and solicitation
- Status: Awarded to Cotiviti Gov Services, LLC
- Department: Department of Health and Human Services
- Agency: Centers for Medicare and Medicaid Services
- Contracting office: Ofc of Acquisition and Grants MGMT (75FCMC)
- NAICS: 561440 Collection Agencies
- Product or service code: R704 Auditing Services
- County: Salt Lake County (FIPS 49035). https://abierto.us/counties/salt-lake-county-ut-49035
- City: South Jordan. https://abierto.us/cities/south-jordan-ut-4970850
- First posted: November 22, 2024
- Last posted: February 5, 2025
- SAM.gov: https://sam.gov/workspace/contract/opp/339d1b75145d41ca86b739dcada9f6d7/view

## Description

The Recovery Audit Program’s mission is to reduce Medicare improper payments through the efficient detection and correction of improper payments. This requirement includes all tasks and responsibilities associated with the review of Medicare Fee-for-Service (FFS) claims submitted to, and paid by, the A/B Medicare Administrative Contractors (MAC) in RAC Regions 3 and 4, and Region 5 which includes Durable Medical Equipment, Prosthetics, Orthotics, and Supply (DMEPOS) claims and Home Health/Hospice (HH/H) claims.

The RAC shall review all applicable claim types submitted to a MAC through the appropriate review methods and work with the Centers for Medicare & Medicaid Services (CMS) and MACs to effectuate the adjustment of claims, recoupment of overpayments, payment of underpayments, support the appeals process and report the status of all reviews by updating the RAC Data Warehouse (RACDW) and providing monthly reports.

The RACs review all applicable claim types submitted to an A/B MAC through the CMS approved review methods and work with CMS and MACs to adjust claims appropriately based on review findings, support the appeals process, and report all statuses. To facilitate the review and adjudication of claims, the RACs are required to have Joint Operating Agreements (JOAs) with all applicable Medicare contractors (MACs, UPICs, QICs, AdQIC) and any other CMS partners as instructed by CMS

## Award on USAspending

- Recipient: Cotiviti Gov Services, LLC (UEI MQL5DMJGJJL5)
- Contract: 75FCMC25CJ006, definitive contract
- Obligated: $10,635,371.19
- Competition: Full and Open Competition, 4 offers received
- Link: solicitation number 75FCMC25RJ003 equals the FPDS solicitation identifier; same awarding office 75FCMC (high confidence)
- Record: https://www.usaspending.gov/award/CONT_AWD_75FCMC25CJ006_7530_-NONE-_-NONE-/

- Recipient: Cotiviti Gov Services, LLC (UEI MQL5DMJGJJL5)
- Contract: 75FCMC25CJ007, definitive contract
- Obligated: $10,265,674.05
- Competition: Full and Open Competition, 4 offers received
- Link: solicitation number 75FCMC25RJ003 equals the FPDS solicitation identifier; same awarding office 75FCMC (high confidence)
- Record: https://www.usaspending.gov/award/CONT_AWD_75FCMC25CJ007_7530_-NONE-_-NONE-/

- Recipient: Cotiviti Gov Services, LLC (UEI MQL5DMJGJJL5)
- Contract: 75FCMC25CJ008, definitive contract
- Obligated: $3,908,792.14
- Competition: Full and Open Competition, 3 offers received
- Link: solicitation number 75FCMC25RJ003 equals the FPDS solicitation identifier; same awarding office 75FCMC (high confidence)
- Record: https://www.usaspending.gov/award/CONT_AWD_75FCMC25CJ008_7530_-NONE-_-NONE-/


## Publications

- November 22, 2024: Combined synopsis and solicitation, due January 6, 2025 at 9:00 AM EST. Notice 7b48a2f2618a44f48a5e8a9f6ef20649. https://sam.gov/workspace/contract/opp/7b48a2f2618a44f48a5e8a9f6ef20649/view
- December 26, 2024: Combined synopsis and solicitation, due February 10, 2025 at 9:00 AM EST. Notice 3cfc13e5b6b74e348b88bcedf0533f78. https://sam.gov/workspace/contract/opp/3cfc13e5b6b74e348b88bcedf0533f78/view
- January 17, 2025: Combined synopsis and solicitation, due February 10, 2025 at 9:00 AM EST. Notice 5639c1e31ce543439a46b1cca771fe5e. https://sam.gov/workspace/contract/opp/5639c1e31ce543439a46b1cca771fe5e/view
- February 4, 2025: Combined synopsis and solicitation, due February 18, 2025 at 9:00 AM EST. Notice 4dc5aac7697147d4867f611cf93b43fa. https://sam.gov/workspace/contract/opp/4dc5aac7697147d4867f611cf93b43fa/view
- February 5, 2025: Combined synopsis and solicitation, due February 18, 2025 at 9:00 AM EST. Notice 339d1b75145d41ca86b739dcada9f6d7. https://sam.gov/workspace/contract/opp/339d1b75145d41ca86b739dcada9f6d7/view

## Points of contact

- Nicole Hoey, Nicole.hoey@cms.hhs.gov, 4107860489
- Megan Anuszewski, megan.anuszewski@cms.hhs.gov, 4107862319

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Source: SAM.gov Contract Opportunities bulk extract and USAspending.gov award data. Confirm deadlines on SAM.gov before responding. Cite https://abierto.us/opportunities/75fcmc25rj003.