Definitive Contract HHSM500201100054C

The Centers for Medicare and Medicaid Services awarded a $9.6 million firm fixed price contract to Cloud Harbor Economics, LLC to support the National Correct Coding Initiative program. As described in the original solicitation, the contractor will maintain and expand correct coding edits, methodologies, manuals and files to promote integrity and ensure consistent coding and payments under Medicare and Medicaid, in accordance with the Patient Protection and Affordable Care Act. This...

The Centers for Medicare and Medicaid Services awarded a $1,207,588.32 firm fixed price bridge contract to J29, Inc. to support the National Correct Coding Initiative program. Set aside for 8(a) sole source, the contract requires J29 to maintain and expand correct coding edits through April 7, 2024. As a current provider of medical claims processing and National Correct Coding Initiative program support, J29 will leverage its expertise to further develop correct coding edits for the Centers...

This is a $6,396,103.28 Firm Fixed Price definitive contract awarded by the Centers for Medicare and Medicaid Services (CMS), a civilian federal agency, to CCS WP, LLC, a small business, for the National Correct Coding Initiative (NCCI) program. The contract was set aside for total small business participation and has a period of performance through March 15, 2019. NCCI is a CMS program that promotes national correct coding methodologies and payment policies to control improper coding leading to...

The Centers for Medicare and Medicaid Services (CMS) awarded a $11,811,142.28 Firm-Fixed Price contract to Capitol Bridge, LLC, a small disadvantaged business, to support the National Correct Coding Initiative (NCCI) program. The NCCI program is designed to prevent improper payments and promote consistent coding for national Medicare and Medicaid programs. The contract has a total small business set-aside and a period of performance through February 2, 2024. Capitol Bridge will provide...

This is a $11,959,405.94 firm fixed price contract awarded by the Centers for Medicare & Medicaid Services (CMS) to J29, Inc., a certified Economically Disadvantaged Women-Owned Small Business (EDWOSB) and SBA 8(a) Program participant. The contract supports CMS's National Correct Coding Initiative (NCCI) program by maintaining and expanding NCCI correct coding edits and methodologies to ensure consistent coding and adjudication of Medicare and Medicaid claims. The contract has a one-year...

This is a delivery order awarded by the Department of Veterans Affairs (VA) Veterans Health Administration to Cerner Federal Solutions LLC, a division of Cerner Corporation. The $3,903,902.59 firm fixed-price contract is for medical coding services and was awarded under the IT Schedule 70 contract vehicle. The contract is not set aside for a specific business type. As the prime contractor, Cerner Federal Solutions will provide clinical documentation improvement services, Agile development and...

The Centers for Medicare and Medicaid Services (CMS), a civilian agency, awarded a $24,140,411.41 cost-plus-award-fee delivery order contract to C2C Innovative Solutions, Inc., a subsidiary of TMF Health Quality Institute, a non-profit organization. The contract, which does not have a set-aside designation, is part of CMS's Qualified Independent Contractor (QIC) Program and provides independent review services for Medicare appeals. C2C Innovative Solutions, Inc. and its parent company TMF Health...

The Centers for Medicare and Medicaid Services awarded a $50.5 million firm fixed-price delivery order to C2C Innovative Solutions, Inc. for the Part D QIC Reconsideration Program under the Qualified Independent Contractor Program vehicle. C2C Innovative Solutions, a non-profit entity based in Jacksonville, Florida and a subsidiary of TMF Health Quality Institute, will perform work at its Jacksonville location through November 2025. This contract, awarded March 31, 2020, was not set aside for...

Empower AI, Inc. has been awarded a delivery order under the Comprehensive Error Rate Testing (CERT) Review Contractor program administered by the Centers for Medicare and Medicaid Services (CMS). The contract, valued at approximately $230.2 million with an ultimate completion date of November 21, 2027, supports CMS's critical mission to calculate bi-annual improper payment rates across the Medicare Fee-for-Service program. The CERT program conducts statistically valid random sampling of...

The U.S. Centers for Medicare and Medicaid Services (CMS) awarded a Firm Fixed Price Delivery Order contract to LCB Solutions, LLC for International Classification of Diseases, Tenth Revision (ICD-10) training and certification for medical coders in the state of Maryland. The contract, which is set aside for small businesses, has a potential ceiling value of $2,007,443.92 and runs through September 12, 2024. The contract was awarded under the General Services Administration's (GSA)...