SOLICITATION NOTICE
R -- Medicare Secondary Payer Business Process & Operations - Package #1
- Notice Date
- 10/12/2011
- Notice Type
- Presolicitation
- NAICS
- 524298
— All Other Insurance Related Activities
- Contracting Office
- Department of Health and Human Services, Centers for Medicare & Medicaid Services, Office of Acquisition and Grants Management, 7500 Security Blvd., C2-21-15, Baltimore, Maryland, 21244-1850
- ZIP Code
- 21244-1850
- Solicitation Number
- RFP-CMS-2011-0048
- Archive Date
- 10/28/2011
- Point of Contact
- Joanne E. Day, Phone: 410-786-5166, ,
- E-Mail Address
-
joanne.day@cms.hhs.gov,
(joanne.day@cms.hhs.gov, /div)
- Small Business Set-Aside
- N/A
- Description
- Business Program Operations Center (BPOC)Statement of Work Background The Centers for Medicare & Medicaid Services' (CMS) Medicare Secondary Payer (MSP) program is designed to promote the sustainability of the Medicare program by shifting Medicare beneficiaries' health care costs to private sources of payment, when available. The MSP law states that Medicare is prohibited from making payment where payment has been made or can reasonably be expected to be made by another insurer. In order to adhere to its statutory requirements, CMS' MSP program performs two primary functions: (1) coordinating benefits in order to ensure that Medicare pays properly, and (2) pursuing recoveries, where Medicare has paid conditionally and is entitled to reimbursement. The intent of this Sources Sought is to identify potential small or small disadvantaged businesses sources that are capable of performing both functions and all associated activities known as the Business Process & Program Operations. CMS is seeking to establish a centralized Coordination of Benefits (COB) and Medicare Secondary Payer Recovery (MSPR) operation by consolidating under a single program, the performance of all activities that support the collection, management, and reporting of other insurance coverage of Medicare beneficiaries, and the collection of mistaken primary payments. These activities are currently being performed under two separate contracts. CMS intends to establish a centralized COB and MSPR operation that provides quality customer service and a single source to Medicare providers, suppliers, beneficiaries, insurers and other stakeholders by streamlining the MSP data and debt collection processes while ensuring the integrity of the Medicare Trust Funds. Overall goals in this consolidation initiative are to: • Administer the MSP process more efficiently and effectively by providing a single contractor entity to operate, coordinate and maintain the MSP process and thus generate cost savings through a reduction in mistaken primary Medicare payments and identification of conditional Medicare payments. • Provide beneficiaries and their representatives with a more efficient, user friendly and less intrusive MSP identification and debt recovery operation by streamlining the process from the collection of MSP information through to the collection of debt. • Achieve other cost reductions and management efficiencies by consolidating performance of similar activities (e.g., mail-room activities, Customer Service / Help Desk activities, etc.) that are necessary to carry out daily operations. • Provide greater flexibility in contracting to ensure the best earned value for the government. • Enhance program integrity consistent with the objectives of the Medicare Integrity Program (MIP). THE DRAFT STATEMENT OF WORK IS ISSUED FOR COMMENTS ONLY. NO RESPONSES TO COMMENTS WILL BE GIVEN. NO QUESTIONS WILL BE ANSWERED. PLEASE SUBMIT COMMENTS AS AN ATTACHMENT TO THE E-MAIL.
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/spg/HHS/HCFA/AGG/RFP-CMS-2011-0048/listing.html)
- Record
- SN02605857-W 20111014/111012234231-7db20394047e644219187c5a7872239f (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
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