SOLICITATION NOTICE
R -- HEALTHCARE COMMON PROCEDURE CODING SYSTEM
- Notice Date
- 7/22/2004
- Notice Type
- Solicitation Notice
- NAICS
- 541611
— Administrative Management and General Management Consulting Services
- 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
- Reference-Number-767-4-365202
- Response Due
- 8/6/2004
- Archive Date
- 8/21/2004
- Point of Contact
- Lucille Lee, Contract Specialist, Phone 410-786-5447, Fax 410-786-9643,
- E-Mail Address
-
LLee4@cms.hhs.gov
- Small Business Set-Aside
- Total Small Business
- Description
- The Centers for Medicare and Medicaid Services (CMS) intends to award on a competitive basis under the Simplified Acquisition Procedures (dollar threshold of $100,000) for Consulting Services. The Simplified Acquisition Procedures are set aside for small businesses unless there are no small business available. The Level II of the Healthcare Common Procedure Coding System (HCPCS) is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT-4 codes. For example, ambulatory services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) are identified by these codes when used outside a physician?s office. Because Medicare and other insurers cover a variety of services, supplies and equipment that are not identified by CPT-4, Level II codes were established for submitting claims for these items. The HCPCS National Panel has been in existence since 1978, and has been responsible for managing the national HCPCS Level II permanent codes. The National Panel is currently responsible for making the final decisions pertaining to modifications to the HCPCS codes. The National Panel, which consists of members from America?s Health Insurance Plans (AHIP), Blue Cross and Blue Shield Association (BCBSA), and the Centers for Medicare and Medicaid Services (CMS), jointly reviews all requests for coding changes and makes final decisions regarding the annual update to the national codes. In October of 2003, the Secretary of HHS delegated authority under the HIPAA legislation to CMS to maintain and distribute HCPCS Level II Codes. In an attempt to provide a fair and equitable system for the modification process of the HCPCS Level II code set, it is crucial that we capture a balance of input from both public (i.e. Medicare and Medicaid) and private insurers. There is a need to retain representation from the private sector to ensure that the operating needs of all payers are met. In order to retain efficient coordination among national third party payers, we are soliciting proposals from the current members of the panel, as well as other national third party payers. Proposals for consultants to the CMS HCPCS workgroup will be accepted from interested parties that meet all of the following criteria: (a) a representative employee(s) of a national third party payer; (b) knowledge of all aspects and impacts of modifications to the National HCPCS Level II Code System;(c) insight into the needs of internal and external customers and users of codes;(d) extensive medical coding expertise; and (e) an organization with a system in place that would facilitate the processing of ?S? (primarily used by the private sector) codes. Contractors seeking an RFQ package must be provide capability statements applicable to the above requirements.
- Place of Performance
- Address: 7500 Security Blvd.
- Zip Code: 21244
- Country: USA
- Zip Code: 21244
- Record
- SN00628395-W 20040724/040722211817 (fbodaily.com)
- Source
-
FedBizOpps.gov Link to This Notice
(may not be valid after Archive Date)
| FSG Index | This Issue's Index | Today's FBO Daily Index Page |