February 4th in Uncategorized by jason2009 .

CGI awarded US$25 million contract for Medicare appeals system

The contract is for one base year, 4 option years and a 6-month transition period. The total value of the contract is US$25 million if all option periods are exercised. CGI is the incumbent on the contract.

The Centers for Medicare & Medicaid Services (CMS) has developed a Medicare Appeals System (MAS) to support legislatively mandated appeals processes for traditional Medicare Fee-for-Service (FFS) and Managed Care (MC). In addition, MAS is required to support judicially mandated notice and appeal procedures resulting …

The Centers for Medicare & Medicaid Services (CMS) has developed a Medicare Appeals System (MAS) to support legislatively mandated appeals processes for traditional Medicare Fee-for-Service (FFS) and Managed Care (MC). In addition, MAS is required to support judicially mandated notice and appeal procedures resulting from Grijalva v. Shalala.

The MAS is a system that tracks and records Medicare appeals through multiple levels of the appeal process. The system leverages processes and consolidates data to allow users across levels to realize benefits of reusable, centralized data. The system supports standard processing of appeals and availability of data to other levels while allowing stakeholders and user groups to shape procedures at their desired level. Currently, MAS supports Level 2 and Level 3 appeals processing.

“CMS has been a valued client of CGI for over ten years and we are pleased that CMS has chosen CGI to continue working on this important project,” said Cheryl Campbell, Vice-President, CGI Federal. “We are looking forward to this opportunity to help CMS achieve their mission of improving the appeals process.”