FEDPATH SOLUTIONS LLC

FEDERAL SUPPLY SCHEDULE CONTRACT

THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), CENTER FOR PROGRAM INTEGRITY (CPI) IS RESPONSIBLE FOR THE MEDICARE CONTRACT-LEVEL RISK ADJUSTMENT DATA VALIDATION (RADV) PROGRAM, WHICH IS THE PRIMARY MECHANISM USED BY CMS TO ENSURE THE ACCURACY

INDEPENDENTLY AND NOT AS AN AGENT OF THE GOVERNMENT, THE CONTRACTOR SHALL FURNISH ALL THE NECESSARY SERVICES, QUALIFIED PERSONNEL, MATERIAL, EQUIPMENT, FACILITIES, AND SUPPLIES, NOT OTHERWISE PROVIDED BY THE GOVERNMENT AS NEEDED TO PERFORM THE REQUIR

TO SUPPORT THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) BY MONITORING THE ACCURACY OF CMS MEDICARE AND MEDICAID MEDICAL REVIEW CONTRACTORS MEDICAL REVIEW DECISION MAKING, THEIR ABILITY TO IMPLEMENT MEDICARE AND MEDICAID COVERAGE, CODING, PA

ADVANCE DATA SHARING (ADS)

THE CONTRACTOR SHALL PROVIDE CMS PROGRAM MANAGEMENT SUPPORT (PMO) SERVICES TO ASSIST THE AGENCY IN COORDINATING AND MONITORING DEVELOPMENT, VISUALIZATION, IMPROVEMENT, AND INTEGRATION OF PROCESSES, SYSTEMS AND STRATEGIES.

THE PURPOSE OF THIS CONTRACT IS TO REVIEW AND CATEGORIZE CONSUMER COMPLAINTS MADE TO THE FEDERAL CALL CENTER ABOUT POTENTIAL FRAUD AND ABUSE IN THE FEDERALLY-FACILITATED EXCHANGE (FFE), AS DESCRIBED IN THE ATTACHED STATEMENT OF WORK (SOW).