Maintenance of the Episode Grouper

The Centers for Medicare and Medicaid Services intends to enter into a sole source contract with 3M Health Information Systems to continue maintenance and ongoing development of various grouper software systems. These systems include the Medicare Severity Diagnosis Related Grouper, Medicare Code Editor, and Medicare Integrated Outpatient Code Editor, which are used to process Medicare claims. 3M HIS also provides annual updates for these groupers and the related Home Health Grouper in response to legislative and coding changes. As the current provider of these services, 3M HIS possesses unique expertise and experience with CMS' grouper systems including conversion of code from COBOL to Java. Due to the specialized nature of the requirements, only 3M HIS is qualified to ensure accurate Medicare claim editing and payments.

There is no set-aside designation for this proposed sole source contract. 3M Health Information Systems is the incumbent and potential sole source awardee providing ongoing maintenance and development of the specified grouper software systems for CMS. As the current maintainer of these critical systems, 3M HIS' expertise and experience make it the only qualified source for this work. The value and period of performance for the sole source contract have not been specified.