RAC (Recovery Audit Contractor)

This contract awards Health Management Systems the role of Recovery Audit Contractor (RAC) to perform audit and recovery services for Medicare/Medicaid claims on behalf of the Centers for Medicare & Medicaid Services. The RAC program is designed to identify and recover improper payments, improve compliance, and reduce future waste, fraud, and abuse in federal health programs. The award was finalized on June 1 2013 following a competitive bidding process that closed on November 26 2012. The contract’s total annual value is $300,000, indicating a modest‑scale engagement focused on targeted audit activities. • Agency: Centers for Medicare & Medicaid Services (HHS) • Vendor: Health Management Systems • Scope: Conduct recovery audits of health‑care claim payments, report findings, and assist in recouping overpayments • Value: $300,000 annual budget • Award status: Awarded after competitive solicitation