Contract award expands company’s 16-year history of providing
innovation to long-standing customer
RESTON, Va.--(BUSINESS WIRE)--Oct. 24, 2016--
NCI, Inc. (NASDAQ: NCIT), a leading provider of information technology
(IT) and professional services and solutions to U.S. Federal Government
agencies, announced today that it was awarded an $87 million
firm-fixed-price contract with the Centers for Medicare and Medicaid
Services (CMS). The contract continues support of CMS’ Comprehensive
Error Rate Testing (CERT) program by NCI and its wholly-owned subsidiary
AdvanceMed. The expanded scope of work includes request and receipt of
medical documentation for Medicare claims billed and call center
support. The award consists of a one-year base period and four one-year
CMS developed the CERT program to calculate the Medicare Fee-for-Service
(FFS) program’s improper payment rate using a sample of claims from the
Medicare claims universe to determine whether the claims have been paid
properly based on Medicare coverage, coding and billing rules. NCI will
utilize the innovative medical review tracking, reviewing and reporting
system it built for CMS, CERT360, which integrates and controls all
aspects of the CERT program’s medical review activity. The system’s
advanced three-tier design incorporates best practices compiled from
managing and successfully completing more than 1.5 million Medicare
medical review audits for CMS.
NCI will work with billing and ordering providers to receive and process
medical records for purposes of conducting medical reviews. The company
also will provide customer service support to the Medicare
Administrative Contractors (MACs) and providers that have claims sampled
for review. It will conduct medical reviews on claims sampled for CERT
and other CMS accuracy reviews; communicate results; and maintain
various websites for internal and external stakeholders. NCI’s expanded
role incorporates the request and receipt of medical records associated
with these claims and provides a “one-stop shop” for MACs, providers and
others for CMS continuity of services.
NCI also will provide the data from the review of these claims to CMS
for the agency’s use in submitting the National Medicare FFS program’s
improper payment rate to the U.S. Congress and to publicly report the
findings and actions CMS is taking to reduce improper payments.
“NCI reviews an average of 50,000 medical claims per year under the CERT
program, in order for CMS to statistically determine the improper
payment rate for the Medicare FFS program,” said Brian J. Clark, NCI’s
president and CEO. “We are proud to continue our work on this important
program serving CMS, one of our largest and longest-standing customers.
Our CERT team has delivered superior results over the past 16 years
while bringing innovative technology to enhance outcomes for CMS.”
About NCI, Inc.:
NCI is a leading provider of enterprise solutions and services to U.S.
defense, intelligence, health and civilian government agencies. The
company has the expertise and proven track record to solve its
customers’ most important and complex mission challenges through
technology and innovation. NCI’s team of highly skilled professionals
focuses on delivering cost-effective solutions and services in the areas
of agile development and integration; cybersecurity and information
assurance; engineering and logistics; big data and data analytics; IT
infrastructure optimization and service management; and health and
program integrity. Headquartered in Reston, Virginia, NCI has
approximately 2,000 employees operating at more than 100 locations
worldwide. For more information, visit www.nciinc.com
or email firstname.lastname@example.org.
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View source version on businesswire.com: http://www.businesswire.com/news/home/20161024006078/en/
Source: NCI, Inc.
Lawrence Delaney, Jr.
Vice President of Marketing & Corporate Communications