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National Correct Coding Initiative (NCCI)   3

ID: 75FCMC22R0035 • Type: Solicitation • Match:  85%
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Description

Posted: Nov. 1, 2022, 3:09 p.m. EDT

The purpose of solicitation amendment 0001 is to provide responses to relevant questions received and to incorporate the following changes throughout the Solicitation:

1. Correct the Period of Performance start date in F.2. to February 3, 2023;

2. Updated the text in L.6 (4)(B) to include a maximum of three overall past performance submissions for the Prime;

3. Remove the reference to All from L.6 (4)(b)(1 & 2);

3. Updated the text in L.6 (4)(B) to include no more than three (Prime)/ two (Significant Subcontractor) Past Performance Questionnaire (PPQ); and

4. Incorporate an updated Exhibit E.2, which includes responses to relevant questions received.

Please note this Solicitation is subject to the availability of funds. All other terms and conditions remain unchanged.

The Centers for Medicare and Medicaid Services (CMS) is seeking eligible 8(a) small business offerors having the ability for providing National Correct Coding Initiative (NCCI) program services to assist CMS in promoting program integrity (PI) and compliance through guidance, edits, and other methodologies that reduce improper payments in the Medicare and Medicaid program. The contract shall focus on the maintenance and further expansion all of the NCCI correct coding edits and other methodologies to ensure that consistent coding and adjudication of Medicare and Medicaid claims lead to consistent payments to providers in accordance with the payment policies of those programs; and enabling CMS and states to meet the Medicaid program requirements as outlined in section 6507 of the Patient Protection and Affordable Care Act (PPACA). Additionally, the contract will provide for the maintenance of associated manuals and references, maintenance of edit files, and the continuation of the ongoing activities necessary to the successful administration of the NCCI program. CMS anticipates award of a firm fixed price type contract for a one-year Base Period, three, one-year Option Periods, one, ten-month Option Period, and a 90-day Option Transition Period that can be exercised at the unilateral discretion of the Government.

This acquisition is being offered for competition limited to eligible 8(a) participants under North American Industry Classification System (NAICS) code 541990. Hard copies of the solicitation document will not be available. The site provides downloading instructions. All future information about this acquisition, including solicitation amendments, will also be distributed solely through this site. Interested parties are responsible for monitoring this site to ensure that they have the most up-to-date information about this acquisition. All responsible 8(a) sources may submit a proposal which will be considered by this agency. No telephone requests or written requests for the solicitation will be accepted.

Posted: Oct. 20, 2022, 3:04 p.m. EDT

Overview

Response Deadline
Nov. 21, 2022, 10:00 a.m. EST Past Due
Posted
Oct. 20, 2022, 3:04 p.m. EDT (updated: Nov. 1, 2022, 3:09 p.m. EDT)
Set Aside
8(a) (8A)
Place of Performance
United States
Source

Current SBA Size Standard
$19.5 Million
Pricing
Fixed Price
Evaluation Criteria
Best Value
Signs of Shaping
94% of obligations for similar contracts within the Centers for Medicare and Medicaid Services were awarded full & open.
On 10/20/22 CMS Office of Acquisition and Grants Management issued Solicitation 75FCMC22R0035 for National Correct Coding Initiative (NCCI) due 11/21/22. The opportunity was issued with a 8(a) (8A) set aside with NAICS 541990 (SBA Size Standard $19.5 Million) and PSC R499.
Primary Contact
Name
Dorota Horton   Profile
Phone
(410) 786-7403

Secondary Contact

Name
Jennifer Kuhn   Profile
Phone
(410) 786-2299

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Additional Details

Source Agency Hierarchy
HEALTH AND HUMAN SERVICES, DEPARTMENT OF > CENTERS FOR MEDICARE AND MEDICAID SERVICES > OFC OF ACQUISITION AND GRANTS MGMT
FPDS Organization Code
7530-75FCMC
Source Organization Code
500019128
Last Updated
Dec. 6, 2022
Last Updated By
megan.anuszewski@cms.hhs.gov
Archive Date
Dec. 6, 2022