Centers for Medicare & Medicaid Services #75FCMC22F0016

CMS Solicits Maintenance Services for Fiscal Intermediary Shared System (FISS)

The Centers for Medicare & Medicaid Services (CMS), through its Office of Information Technology (OIT) - Applications Management Group (AMG), is seeking competitive proposals for maintenance services for the Fiscal Intermediary Shared System (FISS): - FISS is a critical system used to process Medicare Part A claims from institutional healthcare providers, including: - Hospitals - Skilled nursing facilities - Home health agencies - Hospice providers - Comprehensive outpatient rehabilitation facilities - Critical access hospitals - Rural health clinics - Federally qualified health centers - The requested services cover: - Claims collection, editing, pricing, and adjudication - Correspondence management - Online inquiry and file maintenance - Financial processing and reporting - The procurement is a GSA Multiple Award Schedule (MAS) order with a firm fixed price contract structure - Estimated total contract value is at least $100 million - No specific OEMs or vendors are named; the requirement is for ongoing maintenance services of the FISS system - Notable requirements: - Contractor must provide comprehensive maintenance and support for all FISS functionalities - The system supports a wide range of institutional healthcare providers - Emphasis on reliability and continuity of Medicare claims processing

Description

The Fiscal Intermediary Shared System (FISS) is a shared system used to process claims from institutional providers including hospitals, skilled nursing facilities, home health agencies, hospice, and other healthcare providers. The system handles Part A functionality such as claims collection, editing, pricing, adjudication, correspondence, online inquiry, file maintenance, financial processing, and reporting. This procurement is for the maintenance of the FISS system under a competitive GSA MAS order. The contract duration is 5 years with an estimated total value of at least $100 million including options.

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