AMS gets $28M Medicare work

American Management Systems Inc., Fairfax, Va., will develop a system to speed and streamline the appeals processes for Medicare recipients. AMS will also upgrade the Medicare and Medicaid provider reimbursement and reporting systems.

AMS will perform the work under two task orders awarded by the Centers for Medicare and Medicaid Services. The combined value of the task orders is as much as $28 million. AMS has supported the Centers for Medicare and Medicaid Services since 1998.

AMS will build the new Medicare Appeals System over two years, company officials said. The system will support Medicare managed care and traditional fee-for-service appeals, and will result in more efficient administrative review processes and real-time status on appeals to Medicare beneficiaries and providers.

The company also will replace the Provider Statistical and Reimbursement System over the next five years, according to company officials.

The redesigned Web-based system will allow Medicare to better accumulate and report the statistical and reimbursement data it needs for settlements and audits.


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