CMS seeks medical review contractor for Medicare compliance.
The Centers for Medicare & Medicaid Services (CMS) seeks sources for a Supplemental Medical Review Contract to support the Medicare program. The contractor will conduct medical reviews to identify improper payments and ensure compliance with Medicare coverage, coding, and billing rules. Key tasks include reviewing medical records, analyzing data, and providing recommendations. Interested vendors must demonstrate experience in medical review, data analysis, and healthcare compliance. The contract is expected to be performed in St. James, Maryland, with a period of performance likely spanning multiple years.