//NHA receives sole source award to continue as E&O contractor

NHA receives sole source award to continue as E&O contractor

2021-04-20T19:07:06+00:00April 20th, 2021|

We are pleased to announce that NHA has received a sole source award from the Centers for Medicare and Medicaid Services (CMS) to continue serving as the Evaluation and Oversight (E&O) contractor.

As the E&O contractor, NHA will evaluate the accuracy, consistency, timeliness, and quality of the Medicare appeal decisions made by the Qualified Independent Contractors (QICs) for Medicare Fee for Service (FFS), Part C and Part D, the Medicare Administrative Contractors (MACs), and evaluate information contained on the Part C and Part D QICs Appeals Database.

This contract runs through 2023 and consists of a base year plus one option year.  NHA previously served as the E&O contractor from 2017-2021.  During this time, NHA reviewed more than 1000 appeals decisions per year and implemented a consistent auditing approach for each discrete QIC workload that was later applied to review MAC decisions as well.

We are excited to continue our work on the E&O Contract.

To learn more about our services, check out our What We Do page and get in touch.