NCI Information Systems has received a potential $21 million contract to provide professional services to a Centers for Medicare and Medicaid Services office that processes eligibility appeals for the federally run health insurance marketplace.
The company said Tuesday it will help the CMC Office of Hearings and Inquiries conduct risk adjustment data validation audits and provide case management support to the Medicare Geographic Classification Review Board.
Work under the five-year contract also entails support for RADV appeal determination, disposition and post-decision procedures.
Paul Dillahay, CEO and president of NCI and a three-time Wash100 Award recipient, said the company plans to apply its data management experience to help the agency gain insights for its public health mission.
The contract builds on the Reston, Virginia-based information technology provider’s work with the agency’s Center for Program Integrity and Office of Financial Management.