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Noridian Awarded CMS UPIC SMRC Contract

Mar 22, 2018|,

Noridian has been awarded a $227 million Supplemental Medical Review Contractor (SMRC) contract by the Centers for Medicare & Medicaid Services (CMS), concluding a competitive procurement as a part of the UPIC IDIQ.

To support the new contract, Noridian will be hiring approximately 300 individuals. Staff supporting the SMRC contract are located in Noridian’s Fargo headquarters and throughout the country.

“The award reflects Noridian’s strong performance, as well as our ability to successfully implement this workload and to provide the strong value throughout the contract,” said Paul Wilson, president and CEO. “This is a direct reflection of the great work our staff does each day.”

The primary role of the SMRC is to conduct nationwide medical review of Part A, Part B and DME providers and suppliers as directed by CMS. It’s the responsibility of the SMRC to review medical records and related documentation to ensure that claims are processed in accordance with CMS guidelines.

In addition to SMRC, Noridian holds five Medicare Administrative Contractor (MAC) contracts including the Part A/Part B contracts for Jurisdictions E and F, the Durable Medical Equipment (DME) contracts for Jurisdictions A and D and the national Pricing, Data Analysis and Coding contract. In addition, Noridian supports claims processing for the Iowa Medicaid Program.