This Government Contract opportunity was posted on June 9, 2011. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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National Correct Coding Initiative

Awarded

RFP-CMS-2011-0010Federal

Submission Closed05/24/2011, 12:00:00 PM UTC

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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NAICS: 541511

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FA4484 87 Cons Pk

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about 9 hours ago

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AI Contract Overview

The Department of Health and Human Services Centers for Medicare and Medicaid Services is seeking a contractor for the National Correct Coding Initiative to prevent Part B overpayments caused by coding manipulation. The selected contractor will be responsible for maintaining and expanding correct coding edits, updating CPT additions and revisions, and managing Medically Unlikely Edits to reduce clerical and coding errors for Hospital Outpatient and Practitioner claims. Additionally, the contractor will support the Center for Medicaid, CHIP, and Survey and Certification and various states in complying with section 6507 of the Patient Protection and Affordable Care Act, while managing associated manuals and provider education. This requirement is designated as a total small business set-aside and is expected to be awarded as a firm fixed price contract consisting of a base period and four option years. While the scope includes both Medicare and Medicaid activities, funding uncertainties may result in a solicitation limited to Medicare work or one where Medicaid tasks are optional. The procurement is identified by solicitation number RFP-CMS-2011-0010 under NAICS code 541511.

General Info

Agency

N/A

Contract Value

$9,750,908

NAICS

541511 - Custom Computer Programming Services

Place of Performance

Not specified

Set-Aside

NONE

Awardee

CCS WP, LLC

Award Issued Date

05/24/2011, 12:00:00 AM UTC

Documents

No documents available

Documents will appear here when they are available.

AI Contract Breakdown

Uniform Contract Format

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Timeline

2 updates

PhaseAwarded

PostedDec 2

Presolicitation

Notice updatedJan 7

The notice description changed.

Notice updatedFeb 2

Notice details unchanged. Attachments may have changed.

Type ChangedFeb 3

Presolicitation → Solicitation

AwardedMay 24

Contract was awarded

Submission Closed

05/24/2011, 12:00:00 PM UTC

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Organization & Contact Information

AgencyN/A

Contacts2 people available

OfficeN/A

Organization / Agency

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Office AddressN/A

Contacts

Nicole HoeyContract Specialist

contact@example.gov

+1 (555) 000-0000

Theresa - SchultzContracting Officer

contact@example.gov

+1 (555) 000-0000

Full Description

The Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) intends to issue a solicitation for the National Correct Coding Initiative (NCCI). The NCCI shall be responsible for maintaining current correct coding initiative (CCI) edits to control overpayment of Part B, where manipulation of coding leads to inappropriate, increased reimbursement. At a minimum, maintaining CCI, including updating the current edits with any recommended changes or comments and CPT (Current Procedural Terminology) additions, deletions, and revisions. The contractor shall also be responsible for 1) maintaining the Medically Unlikely Edits (MUEs) (Units-of-Service Edits) to reduce coding and clerical errors for Part B Practitioner and Hospital Outpatient claims and 2) assisting the Center for Medicaid, CHIP, and Survey & Certification (CMCS) and the States in meeting the requirements of section 6507 of the Patient Protection and Affordable Care Act (PPACA). The NCCI shall be responsible for at a minimum: 1) maintain and further expand the current correct coding edits to ensure proper coding for Part B and Hospital Outpatient services, 2) enable CMCS and the States to meet the requirements contained in section 6507 of the PPACA, and 3) continues maintenance of the associated manuals and continuation of the ongoing tasks, such as education to the provider community, replying to correspondence, etc. It is anticipated that a firm fixed price contract will be awarded with a base period plus 4 option years. This requirement is being solicited as a total small business set a-side. This announcement is not a request for proposal (RFP). CMS anticipates releasing a Request for Proposal in mid December of 2010 and it will be available on the Federal Business Opportunities (FedBizOpps) website. At this time, there are funding uncertainties concerning the Medicaid related NCCI activities. Due to funding limitations, the forthcoming solicitation may be limited to Medicare NCCI work only and/or may contain optional Medicaid related tasks.