Integrity Management Services, Inc. (IntegrityM) has been awarded a competitive small business set-aside federal prime contract from the Centers for Medicare & Medicaid Services (CMS), Office of Financial Management, Division of Financial Audit and Resolution having responsibility for the financial oversight of cost-based Managed Care Organizations (MCOs).
Under this five year contract, IntegrityM, along with our teaming partner C2C Innovative Solutions, Inc. (C2C), will support CMS in determining whether Medicare service costs and statistics claimed on the MCO’s cost report are accurate and allowable to ensure fair apportionment and proper reimbursement from Medicare. IntegrityM will assist CMS in determining the accuracy of medical costs and statistics on the final annual cost report, and to identify overpayments related to improper medical coding, coverage, and/or insufficient medical documentation. Through this contract, IntegrityM will perform statistical data analysis, develop a defensible statistically valid sampling and extrapolation procedure, and conduct medical coding and coverage review.
“We are so grateful and excited that the right opportunity came along and we have been awarded this contract to support CMS in oversight of their Managed Care Organizations,” said Nisha Shajahan, President/CEO of IntegrityM.
Headquartered in Alexandria, Virginia, Integrity Management Services (IntegrityM) is a certified women-owned small business, CMMI Level 3 appraised, ISO 9001:2015 and FISMA compliant organization. At IntegrityM, we empower our clients to make more informed decisions, improving the way they do business.
IntegrityM provides expertise to government programs and private sector organizations. Results are achieved through consulting services including, statistical and data analysis, compliance, audit, investigation, medical review, outreach and education, software and staffing solutions.