Northrop Grumman Wins Next Generation Contract for Fraud Solutions at CMS
May 03 2016 - 9:00AM
Northrop Grumman Corporation (NYSE:NOC) has been awarded a $91.6m
contract by the Centers for Medicare and Medicaid Services (CMS) to
provide both technical and business expertise to identify and
prevent fraud, waste and abuse of the Medicare trust fund.
This award is a base year contract with four option years. The
contract is for the Fraud Prevention System 2.0 (FPS 2.0) which was
a recompete of FPS 1.0. With the FPS 1.0 contract, Northrop Grumman
and CMS successfully deployed a robust system within 60 days that
processed over 4 million claims daily. The Fraud Prevention System
is the primary tool for identifying potential fraud, waste and
abuse at CMS' Center for Program Integrity with a specific focus on
predictive analytics to identify leads of potentially fraudulent
providers, claim editing algorithms to reject or deny claims, and
business intelligence.
"This award demonstrates our continued collaborative partnership
in fraud solutions and strong program performance of more than 20
years with our CMS customer," said Amy Caro, vice president, health
solutions, Northrop Grumman Technology Services. "As the incumbent
contractor on FPS 1.0 and a domain expert in this arena, Northrop
Grumman is confident that, through the implementation of the FPS
2.0 solution, CMS will continue to achieve high returns on its
investment in combatting fraud."
The FPS program includes data ingestion, data preparation, and
execution of edits and models to deny or reject claims that do not
conform to Medicare policy and assign providers a risk score to
prioritize investigations. This program also provides an
investigative user interface that allows program integrity
contractors and law enforcement to view evidence, track
investigations, and perform rulings. Northrop Grumman is leading a
team including Truven Health Analytics, CGS Administrators,
Waypoint, Hewlett-Packard, Softrams, All Points, and Analytica.
Northrop Grumman is a leading global security company providing
innovative systems, products and solutions in autonomous systems,
cyber, C4ISR, strike, and logistics and modernization to government
and commercial customers worldwide. Please visit
www.northropgrumman.com for more information.
CONTACT: Mike White
703-556-1658 (office)
703-475-9915 (mobile)
mike.white2@ngc.com
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