SOLICITATION NOTICE
D -- Outpatient Prospective Payment System Updates & Ambulatory Surgical Ctrs. Payment System
- Notice Date
- 2/28/2006
- 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-767-6-141502
- Response Due
- 3/14/2006
- Archive Date
- 3/29/2006
- Small Business Set-Aside
- Total Small Business
- Description
- The Centers For Medicare & Medicaid Services (CMS) intends to procure through a sole source purchase order, issued under Simplified Acquisition Procedures consulting services from Robert R. Christy, JR., 1098 Montclare Drive, Sykesville, Maryland 21784-9420, the following services: Hospital Outpatient Prospective Payment System Analyses, Modeling, and Programming Activity for 2007 Update; Ambulatory Surgical Center Payment System Analyses, Modeling and Programming Activity for Creation of new Ambulatory Surgical Center payment system required by the Medicare Modernization Act. To ensure that accurate data are captured for the annual Outpatient Prospective Payment System (OPPS) updates requires a systems designer with expert knowledge of the Medicare claims processing format and system. The contractor possesses the experience, knowledge, and expertise that are required for this project. He has over 25 years of experience with the Medicare payment systems that he acquired as a CMS employee. During that time, he performed systems analyses and data development for various systems including the OPPS, the Provider Statistical and Reimbursement System, and the National Claims History (NCH). As a result of this work, the contractor has acquired an in depth knowledge of and experience with the various systems through which Medicare bills are processed, in particular the outpatient bills. He has expert knowledge of the hospital outpatient claims data and the recalibration methodology used to set the weights for the OPPS Ambulatory Payment Classification (APC) groups. The contractor has extensive knowledge of the Medicare outpatient data, and in constructing appropriate data files for the 2003, 2004, 2005 and 2006 OPPS updates. The contractor expertise is needed to recalibration of APC weights, the preparation of all addenda and related public use files for the 2007 proposed and final rules. The new requirements enacted in the Medicare Modernization Act (MMA), will add further complexities to the 2007 OPPS update. MMA requires CMS to develop and establish a new payment system for Ambulatory Surgical Centers (ASC). The contractor is the systems designer with the depth of knowledge of the OPPS rate setting process and the source data necessary to support the studies and develop the process for setting ASC payment rates. All responding interested parties must possess a current equal level of expertise to that of the proposed sole source contractor.
- Place of Performance
- Address: Centers For Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, Maryland 21244-1850
- Zip Code: 21244-1850
- Zip Code: 21244-1850
- Record
- SN00996009-W 20060302/060228212109 (fbodaily.com)
- Source
-
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