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SAMDAILY.US - ISSUE OF SEPTEMBER 12, 2021 SAM #7225
SOLICITATION NOTICE

D -- Medicare Pricer Requirement

Notice Date
9/10/2021 5:22:14 PM
 
Notice Type
Combined Synopsis/Solicitation
 
NAICS
518210 — Data Processing, Hosting, and Related Services
 
Contracting Office
STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G) FREDERICKSBURG VA 22408 USA
 
ZIP Code
22408
 
Solicitation Number
36C10G22R0003
 
Response Due
10/4/2021 9:00:00 AM
 
Archive Date
11/03/2021
 
Point of Contact
Justin Sink, Contract Specialist, Phone: 540-735-3914
 
E-Mail Address
Justin.Sink@va.gov
(Justin.Sink@va.gov)
 
Awardee
null
 
Description
The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Office of Community Care (OCC), Business Integrity & Compliance (BIC) has a requirement for obtaining resources to price health care claim data using Medicare payment methodologies so OCC may validate the payment accuracy of claims paid through VA Community Care. Contractor shall price medical care claim data received from VA for inpatient and outpatient, institutional, professional and specialty health care services according to Medicare billing requirements using the appropriate Medicare fee schedules, prospective payment systems, Medicare payment methodology, Medicare National Correct Coding Policy Edits (NCCI), and all other Medicare Edits. This contract will require a contractor to provide an electronic system that can be used for incorporating Centers for Medicare & Medicaid Services (CMS) CMS regulation and policy changes and provide accurate and timely Medicare pricing based on provided VA data. The contract will have a one (1), one-year base period and four (4) one year option periods for a total of five (5.
 
Web Link
SAM.gov Permalink
(https://beta.sam.gov/opp/3a60e68eac92450b92a1dfe6ad4f173e/view)
 
Place of Performance
Address: IAW the PWS
 
Record
SN06128660-F 20210912/210910230107 (samdaily.us)
 
Source
SAM.gov Link to This Notice
(may not be valid after Archive Date)

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