NCI Receives $112M Contract Extension for CMS Comprehensive Error Rate Testing Program

The Centers for Medicare and Medicaid Services has awarded a $112 million prime contract extension to NCI Information Systems, a company that delivers digital transformation solutions and services to government agencies.

The Comprehensive Error Rate Testing contract extends the company’s more than-20-year of supporting the CMS CERT program.

The deal expands the deployment of artificial intelligence technologies, including the use of machine learning and robotic process automation with the goal of improving CMS’ monitoring, measuring and reporting efforts focused on Medicare fee-for-service improper payments, NCI said Tuesday.

NCI has supported the Medicare payment integrity program using AI, ML and RPA solutions and empowerments.

The new contract will run through the course of five years.

Within the said schedule, the Reston, Virginia-headquartered company will assist the CMS in selecting and reviewing Medicare FFS claims to determine whether the claims are paid properly under the coverage, coding and billing rules of the Medicare program.

NCI explained that the total and partial payment errors that will be found throughout the five-year effort will be reported to Congress. The results will be part of the annual Agency Financial Report of the Department of Health and Human Services.

Aside from the CERT contract, NCI also received a deal in support of the CMS Office of Hearings and Inquiries. The contract tasks the company to help review risk adjustment data validation appeals to the agency.