Noridian Healthcare Solutions, LLC (Noridian), a leader in developing solutions for federal, state and commercial health care programs, has partnered with management consulting firm RELI Group to assess and verify provider ownership information in Medicare programs. As the subcontractor, Noridian is closely collaborating with RELI Group, the prime contractor, to establish a process to ensure information is accurate and meets the Centers for Medicare & Medicaid Services (CMS) approval requirements. The work between Noridian and RELI Group will prevent and detect abuse and fraud, ensuring beneficiaries use credible providers.
“One of Noridian’s main goals is to enable access to health care through our work. However, it’s crucial the care is coming from trusted providers so people can feel confident their health is being put first,” said Troy Aswege, senior vice president of operations at Noridian. “We’re honored to work with RELI Group to connect reliable providers with the millions of people who rely on Medicare for access to health care.”
The contract covers all providers enrolled in Medicare Part A, Medicare Part B and Durable Medical Equipment (DME) insurance programs. The main objectives of the contract are verifying provider ownership information provided by CMS against the Secretary of State (SOS) website, and verifying the findings with the Provider Enrollment, Chain and Ownership System (PECOS). In addition, RELI Group will develop a standard operating procedure with support from Noridian for each state to effectively validate ownership information on the CMS enrollment application.
We place the highest value in supporting CMS in maintaining the dependability of overseeing national and state-based fraud, waste and abuse initiatives across payment programs,” said Scott Bonney, vice president of health information technology at RELI Group. “Noridian is a valued partner for RELI on this project because they share in our passion for improving health care for the nation and they bring proven expertise in Medicare and Medicaid provider enrollment and management.”… Read the full press release here.