Health Information & Technology Health Information & Technology Value Statement We provide innovative solutions leveraging cutting-edge technology that help increase the quality of care, optimize costs, and ensure the best possible user experience in support of the nation’s healthcare mission. Health Information Technology CDC IT Modernization Providing IT Modernization services for the CDC National Center for Chronic Disease Prevention and Health Promotion, including data management, data analysis, and technical support/consultation for IT application development. Administrative Simplification Enforcement & Testing Tool (ASETT) Providing CMS with administrative, analytical, and technical support for enforcement of the non-privacy and non-security provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the Affordable Care Act, and other relevant regulations. This contract includes daily maintenance and implementation of enhancements for the ASETT system. Our team provides timely implementations of necessary system enhancements, system maintenance, and administrative support for new and existing standards, as well as subject matter expertise on HIPAA regulations. Additionally, the team conducts compliance reviews on randomly selected entities as part of the CMS Administrative Simplification Compliance Review Program. Audit Correspondence Tracking System (ACTS) The ACTS project maintains and enhances a collection of custom, low-code ServiceNow applications to improve the efficiency and effectiveness of several CMS Office of Financial Management (OFM) business processes. RELI Group leverages out-of-the-box ServiceNow capabilities in combination with custom configurations to automate workflows supporting a variety of business functions. Program Integrity CMS National Risk Adjustment Data Providing CMS’ OFM with management consulting support to help identify and correct past improper payments to Medicare providers. This includes performing nearly 6,000 medical record reviews, hosting training events with nearly 500 attendees, and successfully delivering 100% on-time completion of RADV samples. CMS Exchange Complaints Review Accurately and successfully providing CMS’ Center for Program Integrity (CPI) with timely review and categorization of consumer complaints. Recovery Audit Contractor Validation Contractor Providing CMS’ CPI with management consulting, including reviewing Recovery Audit Contractor claim determinations to ensure that Medicare claims are not unnecessarily denied to more than 45 million Medicare and Medicaid patients. Health Informatics CMS Compliance Support for Multiple Models Providing compliance support services for the CMS Center for Medicare & Medicaid Innovation, which develops and tests new healthcare payment and service delivery models to help improve patient care, lower costs, and better align payment systems. Metadata Management & Data Governance Commercial off-the Shelf (COTS) Software Maintenance & Support Providing software maintenance and support for the CMS’CPI, including DevOps support services in customization, deployment, maintenance, and operational support of the ERWIN Metadata Management and Data Governance software solutions. CDC Support Services for the National Center for Health Statistics (NCHS), Division of Health Care Statistics Providing support services for the CDC’s NCHS related to nationally representative, provider-based surveys that cover a broad spectrum of healthcare settings. These surveys include patient-level data specific to encounters with healthcare providers in the survey sample.