Notice ID: HT9402-17-D-0001
The Defense Health Agency (DHA) awarded a Firm Fixed Price (FFP) contract bridge extension for TRICARE Claims Review Services to Concept Plus on February 28, 2024 under contract HT9402-17-D-0001.
The extension was issued sole-source in accordance with Federal Acquisition Regulation (FAR) 6.302-1, only one responsible source and no other supplies or services will satisfy agency requirements.
The period of performance will be from March 01, 2024 – February 28, 2025.
A bridge extension was necessary to prevent a gap in support to mission critical DHA requirements until a follow-on contract is awarded and the awardee completes transition-in.
The DHA acquires compliance review services to assess the potential and actual risk of improper payments made by TRICARE purchased care contractors. The purpose of TCRS is for the contractor to provide independent, impartial review of healthcare claims reimbursement methodologies and TRICARE Encounter Data (TED) payment record coding and active-duty dental record coding procedures utilized by the two Managed Care Support Contractors (MCSC), TRICARE Medicare Eligible Program (TMEP), TRICARE Pharmacy Program (TPharm), TRICARE Active Duty Dental Program (ADDP) contractors.
TCRS compliance reviews have three primary components: (1) to evaluate purchased care contractor’s claims processing procedures, reimbursement determinations, and compliance with TRICARE policies and directives when processing healthcare claims; (2) to measure and report to DHA Leadership and TRICARE Program Office Managers, purchased care contractor’s claims processing performance as stipulated in TRICARE Operations Manual …
Contract Award Number: HT9402-17-D-0001
Contractor Awarded Unique Entity ID: GL3LT4MQCMK7
Contractor Awarded Name: CONCEPT PLUS, LLC
Contractor Awarded Address: Fairfax, VA 22033 USA
Base and All Options Value (Total Contract Value): $5,578,396.86
Want to get involved with OS AI? - A small number of Sponsorship Opportunities are now available here. Starting at $500.