SOLICITATION NOTICE
D -- MAINTENANCE OF MEDICARE FISS CLAIMS PROCESSING SOFTWARE
- Notice Date
- 9/12/2005
- Notice Type
- Solicitation Notice
- NAICS
- 541511
— Custom Computer Programming Services
- Contracting Office
- Department of Health and Human Services, Centers for Medicare & Medicaid Services, formerly known as the Health Care Financing Administration, Office of Acquisition and Grants Management, 7500 Security Blvd. C2-21-15, Baltimore, MD, 21244-1850
- ZIP Code
- 21244-1850
- Solicitation Number
- Reference-Number-CMS-2006-FISS
- Description
- BACKGROUND: CMS is responsible for administering the Medicare Program as delegated to the Agency by the Secretary of the Department of Health and Human Services. CMS contracts with Fiscal Intermediaries (FIs) and Carriers to process claims for benefits provided under the Medicare Program. FIs perform claims processing and benefit payment functions for institutional providers under Parts A and B of the program; Carriers perform the same functions for professional providers under Part B. Hospital insurance (Part A of the Program) covers expenses for medical services furnished in institutional settings, such as hospitals or skilled nursing facilities, or services provided by a home health agency. Supplemental medical insurance (Part B of the Program) covers physician services, certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) services and other outpatient services. The Fiscal Intermediary Shared System, also known as FISS, is the Medicare shared software system FIs use. DESCRIPTION OF REQUIREMENT: The Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS) intends to issue a solicitation for the maintenance of the Medicare Fiscal Intermediary Shared System. The contractor shall update and maintain FISS computer software that currently performs data collection and validation, claims control, pricing, adjudication, correspondence, on-line inquiry, file maintenance, reports, reimbursement, and financial processing. The contractor shall provide standard, fully tested software and documentation, and maintenance service activities to the system for each software release to the FIs and their staff that process claims using FISS. The minimum contractor requirements are: (1) a CMMI-SW Level 2 or appropriate equivalent such as CMM-SW Level 2 or the ISO 9001:2000 family of standards; (2) in-depth experience with maintaining a complex computer system with several million lines of code; (3) experience with writing requirements, designing, coding, testing, and implementing changes to a complex system; and (4) extensive knowledge of the Medicare program and the complexities associated with its frequently changing nature. It is anticipated that a cost plus award fee contract will be awarded with a base period plus 4 option years. This requirement is being solicited as a full and open competition. This announcement is not a request for proposal (RFP). CMS anticipates release of the Request For Proposal in November 2005 and it will be available on the Federal Business Opportunities (FedBizOpps) website. The anticipated award date for this effort is August 1, 2006.
- Record
- SN00892596-W 20050914/050912211722 (fbodaily.com)
- Source
-
FedBizOpps.gov Link to This Notice
(may not be valid after Archive Date)
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