Centers for Medicare & Medicaid Services (CMS)
CMS provides direction and technical guidance for the administration of the federal effort to plan, develop, manage and evaluate health care financing programs and policies. CDS enjoys a long-standing, trusted relationship with CMS.
Medicare Fee-for-Service Claims Systems Hosting and Production Support: CDS operates the Centers for Medicare & Medicaid Services’ largest data center under its Virtual Data Center contract. The purpose of this contract is to help the Medicare program accommodate a growing claims volume, standardize operations, expand e-health services and bolster security and lower costs. The CDS data center is one of the largest data centers in the world for health information and is built for scalability and flexibility depending on customer requirements. CDS is proud to have transitioned 67 percent of the Medicare health care claim processing from over a dozen data centers in 18 months. We have standardized processing, increased security, lowered costs and created a valuable data repository.
CDS provides hosting and production support for many additional CMS systems under the Virtual Data Center contract, including:
- Services for the National Level Repository (NLR) hosting task order.
The NLR system tracks incentive payments to health care providers that adopt electronic health records and modernize their computer systems by archiving, receiving and processing daily data feeds from multiple sources. CDS has provided an effective and highly reliable environment for the NLR since its start in 2010, and developed improvements in infrastructure and monitoring, creating efficiencies in releases and testing.
- 1-800-Medicare National Data Warehouse Application Hosting
CDS successfully transitioned and currently hosts the 1-800-MEDICARE National Data Warehouse (NDW) application for CMS under its Enterprise Data Center (EDC) contract. The NDW contains statistical information on the 1-800-MEDICARE help line, including the most frequent inquiries and the duration of calls. This help line receives over 40 million calls each year on topics such as enrollment procedures and covered services. CMS analyzes the data to improve outreach materials and customer service for the 43 million Americans with Medicare coverage.
CDS also hosts and supports the CMS Enterprise Portal, several CMS provider systems in including Provider Enrollment, Chain, and Ownership (PECOS), National Plan & Provider Enumeration System (NPPES), Fraud Investigation Database (FID), and Medicare Exclusion Database (MED), as well as several CMS Medicaid and Children's Health Insurance Program (CHIP) systems including Medicaid and CHIP Business Information Solutions (MACBIS) and Transformed Medicaid Statistical Information System (TMSIS).
Blue Cross and Blue Shield Association
Customer since 2006.
CDS performs application hosting services for Novitas Solutions in support of a federal program it manages which provides reimbursement for emergency health services provided to certain individuals.
CDS provides application hosting support services to Northrop Grumman for its work on Encounter Data Processing System contract.
CDS provides testing and validation environments for application development work it performs for CMS. These environments are secured and architected in accordance with CMS policies and standards. This consistency helps ensure a smooth transition when applications are moved into production.
Professional Data Solutions
CDS hosts applications for Professional Data Solutions (PDS) to support an inter-plan teleprocessing system that PDS manages for major health insurance plans nationwide. The system supports national programs that enable members of one insurance plan to obtain health care service benefits while traveling or living in another plan's service area. Located in Blue Bell, PA, PDS provides programs that link participating health care providers across the United States and abroad with the insurance companies through a single electronic network for claims processing and reimbursements.
CDS provides data center resources for TriCenturion, a Medicare Program Safeguard Contractor, for analytic work relating to identifying improper payments and fraud in the Medicare program.
CDS provides hosting services for Palmetto GBA. Palmetto GBA administers technical and administrative services for the federal government, including the Medicare program. Palmetto GBA is the Jurisdiction M A/B Medicare Administrative Contractor. This Jurisdiction includes North Carolina, South Carolina, Virginia and West Virginia. Palmetto GBA also administers the Medicare Home Health and Hospice (HH+H) Fee-for-Service claims for 16 states.
Avalon Healthcare Solutions
Avalon is a health care solutions organization specializing in a managed lab claims processing model that is new to the marketplace. In this relationship, CDS is supporting Avalon with managed services data center hosting, commercial systems solution and business process outsourcing services. This contract also brings together an offering of business process outsourcing as well as a new approach to lab claims processing, which can be innovative as pharmacy benefit management companies and behavioral health management companies have been in the past.
Optical Image Technology, Inc.
CDS provides a multi-tenant Cloud Companion®, currently hosting services for a financial company and an investment firm.