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DOD Mentor Protégé program - 1995-2001

DOD Mentor Protégé program - 1995-2001


Client:     CMS (Health Care Financing Administration (HCFA)
               Research & Demonstration Systems Support
Project:   Facilities Management for Medicare/Medicaid Claims Processing
Period:    1980 - 1986
NAICS:    518210, 541513, 541611
Value:      $2,267,948

Health Care Financing Administration (HCFA) provides fiscal services to intermediary health care providers across the country. ICS operates a facility to perform Medicare/Medicaid claims processing, data entry and keypunching for HCFA. The facility management services ICS provides include:

 Medicare/Medicaid Claims Processing - Review claims for accurate and complete information. Research patient information and call physicians and hospitals to verify claims.
 Answer telephone calls from claimants and resolve their problems. Verify claims for eligibility according to established laws and guidelines.
 Maintain accurate reports of claims processed.
 Data Entry - Enter payment and medical data from institutions such as urban health clinics and hospices. Use terminals on line to HCFA computers to key data. Edit data to eliminate errors.
 Keypunching - Key health locator cards. Keying these cards is extremely tedious and exacting.
 Control - Maintain a system to log and control the flow of claims and mail.

ICS designed and set up this facility. The required processing accuracy rate is 99% - our rate is higher.