E.7 - Scenario C Edits.docx

DOCX document 22 KB Posted

Attached to
National Correct Coding Initiative (NCCI) Federal contract opportunity
Solicitation number
75FCMC22R0035
Issued by
Department of Health and Human Services Centers for Medicare and Medicaid Services

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This document contains details regarding a federal solicitation for National Correct Coding Initiative program services. The Centers for Medicare and Medicaid Services is seeking eligible 8(a) small businesses to provide services focused on maintaining and expanding National Correct Coding Initiative correct coding edits and methodologies to ensure consistent coding and payments under Medicare and Medicaid. The contract will also involve maintaining associated manuals and references, edit files, and ongoing program administration activities. The contract type is firm fixed price, with a one-year base period, three one-year option periods, one ten-month option period, and a 90-day transition option period available at the government's discretion. The solicitation is limited to eligible 8(a) participants under NAICS code 541990 and will be distributed solely through the Federal Business Opportunities website. Interested parties must monitor the site for solicitation amendments and updates.

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Other files for this federal contract opportunity

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75FCMC22R0035_0001.pdf PDF
E.2 NCCI Questions_CMS Response.docx DOCX document
J.1 - NCCI SOW.docx DOCX document
E.8 -508 Checklist Instructions.docx DOCX document
SF-33-75FCMC22R0035 NCCI RFP.pdf PDF
E.3 - Responsibility Questionnaire.docx DOCX document
E.5 - Consent to Subcontract.docx DOCX document
J.2 - Contractor_Offeror Conflict of Interest Template.docx DOCX document
E.1 - NCCI Business Proposal Template.xlsx XLSX spreadsheet
E.6 - Past Performance Questionnaire.docx DOCX document
E.2 - NCCI Questions Submission Template.docx DOCX document
E.4 - Prime Proposal Checklist.docx DOCX document
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Exhibit E.7 Scenario C Edits (75FCMC22R0035) National Correct Coding Initiative

Column 1 / Column 2 Edits (Includes Mutually Exclusive Edits)

Column 1
Column 2
Effective

Date Deletion Date Modifier Indicator 0=not allowed 1= allowed 9= not applicable

CLE ID

A0461
A0461
20130101
20191231
1
14.90000
AO461
64410
20201001
7
3.90000
A0461
64412
20130101
20191231
1
13.DELETEPR4
A0461
64413
20201001
1
3.90000
A0461
64415
20130101
20191231
1
13.DELETEPR4
A0461
64416
20201001
1
3.90000
A0461
64417
20130101
20191231
0
13.DELETEPR4
A0461
64418
20201001
20219030
0
13.DELETEPR4
A0461
64420
20211001
1
14.90000
A0461
64421
20130101
20191231

13.DELETEPR4

A0461
64425
20201001
1
3.90000
A0461
64430
20130101
20191231
1
20.90000
A0461
64435
20201001
1
3.90000
A0461
64445
20130101
20191231
1
18.90000
A0461
64446
20201001
1
3.90000
A0461
64447
20130101
20191231
1
13.DELETEPR4
A0461
64448
20201001
1
3.90000
A0461
64449
20130101
1
3.90000
A0461
64450
22020101
1
3.90000
A0461
64451
20130101
1
3.90000
A0461
64454
20130101
1
3.90000
A0461
64461
20130101
1
3.90000
A0461
64462
20130101
20130101
9
14.90000
A0461
64463
20130101
20130101
9
13.DELETEPR4
A0461
64479
20130101
20130101
9
13.DELETEPR4
A0461
64480
20130101
20130101

13.DELETEPR4

A0461
64483
20130101
20130101
9
13.DELETEPR4
A0461
64484
20130101
22191231
1
13.DELETEPR4
A0461
64486
20201001
1
3.90000
A0461
64487
20130101
20191231
1
13.DELETEPR4
A0461
64488
20201001
1
3.90000
A0461
64489
20190101
20131231
1
13.DELETEPR4

Column1/Column2 Edits (Includes Mutually Exclusive Edits)

Col1Col2EffDtDelDt"Mod Ind0=not allowed1=allowed9=not applicable"CLEID
A63216445020170101014.0000T
A63216445120210101010.0000T
A63216445420200101014.0000T
A63216446120170101014.0000T
A6321644622015100120151001913.DELETEPR4
A63216446320180101014.0000T
A63216447920220101014.0000T
A63216448020221001019.0000T
A63216448320200101014.0000T
A63216448420220101714.0000T
A63216448620190401014.0000T
A6321644872015100120151001913.DELETEPR4
A63216448820220101014.0000T
A6321644892017040120181231013.DELETEPR4
A6321644902017040120181231113.DELETEPR4
A6321A632120160401014.0000T
A63216449220220101014.0000T
A63216449320220101014.0000T
A63216449420190101014.0000T
A63216449520220101014.0000T
A63216450520170101014.0000T
A6321645102017040120181231013.DELETEPR4
A63216451720220101014.0000T
A63216452020220101014.0000T
A63216453020220101014.0000T
A6321697052022001014.0000T
A63216999020220101014.0000T
A63217600020220101110.0000T
A63217700120220101114.0000T
A63217700220220101114.0000T
A6321920122022010113.0000T
A6321920142022010113.0000T
A6321925112022010106.0000T
A63219300020220101114.0000T
A63219300520220101114.0000T
A63219301020220101114.0000T
A6321930402018070120180930113.DELETEPR4
A63219304120220101114.0000T
A6321697062022001014.0000T
A63219304220220101114.0000T
A63219331820220101714.0000T
A63219335520220101110.0000T

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