CMS awarded CNSI, a health IT solutions provider, 4.5 year, $35 million contract to develop and maintain CMS' next-generation Encounter Data Processing System for Medicare Part C claims.
Encounter data is the clinical and diagnostic information generated by healthcare providers during visits by Medicare Advantage (Medicare Part C) beneficiaries. CMS collects and analyzes the data, using it to make adjustments to Medicare Advantage Organization reimbursements.
CNSI worked as a subcontractor, maintaining the operations of the existing Encounter Data Processing System, for the past five years.
"In the last decade, CNSI has developed unparalleled experience in large-scale health IT projects," said Vijay Mishra, CNSI's senior vice president of federal programs. "From our implementation of several state Medicaid Management Information Systems to our experience operating the existing EDPS, we are perfectly suited to execute this project."