SOLICITATION NOTICE
Q -- QUALITY IMPROVEMENT ORGANIZATIONS DRAFT 8TH STATEMENT OF WORK
- Notice Date
- 12/14/2004
- Notice Type
- Solicitation Notice
- NAICS
- 923120
— Administration of Public Health Programs
- Contracting Office
- Department of Health and Human Services, Centers for Medicare & Medicaid Services, formerly known as the Health Care Financing Administration, Acquisition and Grants Group, 7500 Security Blvd. C2-21-15, Central Building, Baltimore, MD, 21244-1850
- ZIP Code
- 21244-1850
- Solicitation Number
- CMS05QIO1CGS
- Response Due
- 12/24/2004
- Archive Date
- 1/8/2005
- Description
- This Statement of Work (SOW) is based upon the statutory authority found in Title XI of the Social Security Act, Part B (hereinafter referred to as the Act), as amended by the Peer Review Improvement Act of 1982. This legislation established the Utilization and Quality Control Peer Review Organization Program, now known as the Quality Improvement Organization (QIO) Program. Based on legislative language and the experience of the Centers for Medicare & Medicaid Services (CMS) in administering the Program, CMS has identified the following requirements of the QIO Program: 1. Improve quality of care for beneficiaries; 2. Protect the integrity of the Medicare Trust Fund by ensuring that Medicare only pays for services and items that are reasonable and medically necessary and that are provided in the most appropriate (e.g., economical) setting; and 3. Protect beneficiaries by expeditiously addressing individual cases such as beneficiary complaints, provider-issued notices of non-coverage (HINNs, NODMARs, and Medicare Advantage appeals), EMTALA violations (dumping), and other statutory responsibilities. The statutory mission of the Program, as set forth in Section 1862(g) of the Act, is to improve the effectiveness, efficiency, economy, and quality of services delivered to Medicare beneficiaries.
- Place of Performance
- Address: All 50 States plus the District of Columbia, Puerto Rico, and the Virgin Islands
- Record
- SN00720968-W 20041216/041214211825 (fbodaily.com)
- Source
-
FedBizOpps.gov Link to This Notice
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