RFI-Recovery Audit (RA) Services for the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Office of Finance (OF)

Recovery Audit (RA) Services for the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Office of Finance (OF) INTRODUCTION This notice is issued solely for information and planning purposes. There is no obligation for the Government to acquire any products or services described in this Request for Information (RFI).

In accordance with the Federal Acquisition Regulations (FAR) Subpart 15.201(e), responses to this notice are not offers and cannot be accepted by the Government to form a binding contract. No funds have been authorized, appropriated, or received for this effort. The information provided may be used by VA in developing its acquisition strategy and refining the Performance Work Statement (PWS). Only electronic responses to this RFI will be accepted.

BACKGROUND The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Office of Finance (OF) requires a contractor to conduct Recovery Audit (RA) activities in support of the Payment Integrity Information Act of 2019 (PIIA) (Public Law No. 116-117). The auditing will be organized into mandatory and optional tasks. The Office of Finance intends to award a no-cost task order, where the contractor is compensated solely from recovered funds.

The contractor shall review 100% of supplied paid claim data in accordance with their approved audit plan and report results to the Office of Finance. The term “improper payment” refers specifically to overpayments. Situations where a provider submits a claim containing an error but does not alter the payment amount are not considered improper payments. This RFI seeks information from potential contractors who possess the expertise to perform these Recovery Audit services effectively.

Responses will help inform the VA's approach to this critical function. For further information or to submit responses, please contact the designated point of contact listed in this notice. Thank you for your interest in supporting the Department of Veterans Affairs.