Noridian Healthcare Solutions awarded CMS UPIC SMRC contract

Noridian Healthcare Solutions awarded CMS UPIC SMRC contract

FARGO, N.D. –(March 22, 2018) Noridian Healthcare Solutions, LLC (Noridian) has been awarded a $227 million Supplemental Medical Review Contractor (SMRC) contract by the Centers for Medicare & Medicaid Services (CMS), concluding a competitive procurement as a part of the UPIC IDIQ.

To support the new contract, Noridian will be hiring approximately 300 individuals.  Staff supporting the SMRC contract are located in NHS’s Fargo headquarters and throughout the country.

“The award reflects Noridian’s strong performance, as well as our ability to successfully implement this workload and to provide the strong value throughout the contract,” said Paul Wilson, President and CEO. “This is a direct reflection of the great work of our staff does each day.”

The primary role of the SMRC is conduct nationwide medical review of Part A, Part B and DME providers and suppliers as directed by CMS. It’s the responsibility of the SMRC to review medical records and related documentation to ensure that claims with processed in accordance with CMS guidelines.

In addition to SMRC, Noridian holds five Medicare Administrative Contractor (MAC) contracts including the Part A/Part B contracts for Jurisdictions E and F, the Durable Medical Equipment (DME) contracts for Jurisdictions A and D and the national Pricing, Data Analysis and Coding contract. In addition, Noridian supports claims processing for the Iowa Medicaid Program.

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About Noridian Healthcare Solutions

Noridian Healthcare Solutions, LLC (NHS), a wholly-owned subsidiary of Noridian Mutual Insurance Company, delivers innovative business solutions for government agencies to reduce cost and enhance value in the health care industry. NHS has served as a government claims contractor for Medicare since the federal program’s inception in 1966. The company provides business processing services nationwide and employs more than 1,500 staff members throughout the U.S. For more information, visit www.noridiansolutions.com.

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