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.