Medicare Fee-For-Service Corrective Action Strategic Analysis

Forecast Overview

NAICS

541611

Incumbent

ePathUSA, Inc.

Performance end

9/2026

This initiative reduces Medicare FFS improper payments via CERT analytics and Corrective Action Plans. We analyze service types, error categories, and legislative shifts to target high-impact areas. Provider tools are enhanced with education addressing root causes. The program evaluates CPI prepay (TPE, PA) and post-pay (UPICs, RACs) activities via stakeholder interviews and RACDW data. Strategic assessments align findings to optimize ROI through audits, regulatory adjustments, and reporting.

Source

Source

HHS SBCX Forecast Export

Source file

Forecast.csv

Official source

Agency forecast source

Last verified

2026-08-31

Agency-published contact: · jennifer.kuhn@cms.hhs.gov

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