Medicare Payment System Modernization (MPSM) Pricing and Coding Recompete

The contract seeks services to design, develop, and operate solutions that support the agency in providing accurate, timely, and accessible pricing and coding for Medicare services related to claims processing and payment. It is focused on modernizing the Medicare Payment System to enhance responsiveness and correctness in handling Medicare claims. This effort aims to improve the overall efficiency and reliability of Medicare claims adjudication by implementing updated pricing and coding mechanisms. This opportunity is managed by the Centers for Medicare and Medicaid Services and is designated as a Total Small Business Set-Aside under NAICS code 541512, which pertains to computer systems design services. Key contacts for this procurement include Danielle R. Brown as the program point of contact and Meghan Critzman as the contracting officer. Though the solicitation number and specific performance locations are not provided, the contract is forecasted in March 2026 and aligns with the agency’s ongoing initiatives to modernize healthcare payment systems.