Medicare Fee-For-Service Corrective Action Strategic Analysis (CASA)

The Centers for Medicare & Medicaid Services (CMS) is seeking information from potential small businesses to support the Medicare Fee-For-Service Corrective Action Strategic Analysis (CASA) work. The CASA work focuses on identifying, measuring, and preventing improper payments in the Medicare FFS program by conducting data analysis, corrective action strategy development, and internal stakeholder engagement. The desired outcomes of these efforts are to characterize Comprehensive Error Rate Testing (CERT) data, reduce provider burden, reduce appeals, and reduce improper payments in the Medicare FFS program. Some key aspects of the work include: • Analyzing CERT data to identify top drivers of improper payments • Assessing the alignment of CPI corrective action activities with the national improper payment rate • Developing strategic recommendations to reduce the Medicare FFS improper payment rate • Supporting provider education through the Provider Compliance Tip Tool Enhancement Respondents must demonstrate experience in areas such as Medicare FFS claims data analysis, improper payment analysis, corrective action plan development, and federal healthcare program integrity ecosystem coordination.