By Bernie Monegain, Healthcare IT News
The Centers for Medicare & Medicaid Services (CMS) awarded a $200 million contract to HP Enterprise Services for software applications related to Medicare Part B claims processing and the delivery of services to beneficiaries.
The Medicare Part B Shared System Maintainer contract is for one base year with seven one-year renewal options. CMS carriers and Medicare administrative contractors use Medicare's Multi-Carrier System (MCS) to process approximately 750 million Medicare Part B claims annually.
Under the contract, HP will provide applications support and maintenance services, including full development life cycle support for system maintenance and enhancements. HP services will deliver production and user support for the processing of an ever-increasing volume of Medicare Part B claims.
HP will deliver related system maintenance and transition support to the Healthcare Integrated General Ledger Accounting System. The system exchanges data with the MCS for the processing of claim billing information, provider profile information, beneficiary profile information, check reconciliation, payment information and other claims-related data.
In support of CMS initiatives, HP will meet large-scale legislative mandates such as Health Insurance Portability and Accountability Act (HIPAA) 5010 transactions and International Classification of Diseases, 10th edition (ICD-10), code sets.
