Procurement Summary
Country: USA
Summary: Request for Proposals for Conducting Recovery Audit Services for the VHA Office of Finance, Department of Veterans Affairs (VA)
Deadline: 27 Aug 2025
Other Information
Notice Type: Tender
TOT Ref.No.: 123583424
Document Ref. No.: 36C10x25R0021
Financier: Self Financed
Purchaser Ownership: Public
Tender Value: Refer Document
Purchaser's Detail
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Description
The Department of Veterans Affairs (VA), VHA Office of Finance (OF) has a requirement for up to conduct Recovery Audit (RA) activities of healthcare claim payments made for a variety of VHA Community Care programs, as described below. Automated reviews occur at the system level while complex reviews require a qualified individual to review the medical record. Each program has specific payment methodologies as defined by VA regulations. In general, the audit will review various types of paid healthcare claim data with specific dates and criteria included in the description of each auditing scenario.
The VA intends to award one (1) but not more than three (3) FFP (fixed percentage of recovery) contract(s) to provide healthcare claims recovery auditing services. Contractor compensation under this contract will be contingent upon the accurate identification of valid overpayments and the successful recovery of those overpayments by the Government. The contractor shall assume all costs associated with the execution of RAC tasks and will only be reimbursed based on a fixed percentage of actual funds recovered.
The Period of Performance (POP) for the base period shall be from the date of award for a period of one (1) year base period, followed by four (4) year option periods to be awarded at the discretion of the Government.
Active Contract Opportunity
Notice ID : 36C10x25R0021
Related Notice : 36C10x25R0021
Department/Ind. Agency : VETERANS AFFAIRS, DEPARTMENT OF
Sub-tier : VETERANS AFFAIRS, DEPARTMENT OF
Office: SAC FREDERICK (36C10x)
General Information
Contract Opportunity Type: Solicitation (Updated)
Updated Published Date: Jul 29, 2025 01:34 pm EDT
Original Published Date: Jul 29, 2025 09:56 am EDT
Updated Date Offers Due: Aug 27, 2025 03:00 pm EDT
Original Date Offers Due: Aug 23, 2025 03:00 pm EDT
Inactive Policy: 15 days after date offers due
Updated Inactive Date: Sep 11, 2025
Original Inactive Date: Sep 07, 2025
Initiative: None
Classification
Original Set Aside: No Set aside used
Product Service Code: R704 - SUPPORT- MANAGEMENT: AUDITING
NAICS Code: 541219 - Other Accounting Services
Place of Performance: Frederick, MD 21703 USA
Documents
Tender Notice
RFP-36C10X25R0021_Recovery-Audit-Services.pdf
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