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SAMDAILY.US - ISSUE OF JUNE 16, 2023 SAM #7871
SOLICITATION NOTICE

R -- Medical Review Accuracy Contractor (MRAC)

Notice Date
6/14/2023 12:53:23 PM
 
Notice Type
Combined Synopsis/Solicitation
 
NAICS
541611 — Administrative Management and General Management Consulting Services
 
Contracting Office
OFC OF ACQUISITION AND GRANTS MGMT BALTIMORE MD 21244 USA
 
ZIP Code
21244
 
Solicitation Number
75FCMC23R0015
 
Response Due
6/16/2023 8:00:00 AM
 
Archive Date
08/01/2023
 
Point of Contact
Jennifer Kuhn, Phone: 4107862299, Dorota Horton, Phone: 4107867403
 
E-Mail Address
jennifer.kuhn@cms.hhs.gov, Dorota.Horton@cms.hhs.gov
(jennifer.kuhn@cms.hhs.gov, Dorota.Horton@cms.hhs.gov)
 
Small Business Set-Aside
8A 8(a) Set-Aside (FAR 19.8)
 
Description
** Amendment 0003 ** -�This Amendment updates Solicitation Clause C.2, FAR 52.212-5 CONTRACTTERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS � COMMERCIAL PRODUCTS AND COMMERICAL SERVICES, to the JUNE 2023 version, which incorporates FAR 52.204-27, Prohibition on a ByteDance Covered Application (Jun 2023). ** Amendment 0002 ** - Provide Offeror�s with Exhibit E.7, Medical Records Factor 1, which is required to complete Phase 1, Evaluation Factor 1, Medical Record Review.� ** Amendment 0001 ** - Provides updates/ revisions to the Solicitation as described within the attached Solicitation Amendment 0001 and revised Exhibits E.2 and E.4. The purpose of this contract is to support the Centers for Medicare & Medicaid Services (CMS) by monitoring the accuracy of CMS� Medicare and Medicaid Medical Review Contractors (MRCs) medical review (MR) decision making, their ability to implement Medicare and Medicaid coverage, coding, payment, and billing policies, and the identification of potential fraud, waste, or abuse (FWA) patterns and/or trends.� MRCs are defined as the Medicare Administrative Contractors (MACs), Supplemental Medical Review Contractor (SMRC), with workstreams in Program Integrity (SMRC PI) and Healthcare Fraud Prevention Partnership (SMRC HFPP), Unified Program Integrity Contractors (UPICs), and the Railroad Retirement Board Specialty MAC (RRB SMAC).
 
Web Link
SAM.gov Permalink
(https://sam.gov/opp/7ea6e9d4466c4fe7bef964389ec14406/view)
 
Record
SN06715525-F 20230616/230614230109 (samdaily.us)
 
Source
SAM.gov Link to This Notice
(may not be valid after Archive Date)

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