CMS Awards New WCRC Contract

CMS Awards New Workers’ Compensation Review Contractor (WCRC) ContractOver the past year CMS has been seeking a new and qualified vendor to take on the role of the WCRC through a Request for Proposal (RFP) process. On June 16, 2011, CMS awarded Provider Resources Inc. with the WCRC contract. The award notice posted by CMS on June 23, 2011 outlines the primary responsibilities of the WCRC to include evaluating MSA proposals while adhering to CMS guidelines, and projecting future Medicare covered medical costs including prescription drugs and durable medical equipment. However, CMS subsequently reviews the case and makes the final determination. The contract will go into effect on July 1, 2011, ending on June 30, 2012, and is worth $5,124,084 which includes the cost to transition cases from the current vendor.

Also important to note is the WCRC’s responsibility to perform outreach, educational activities, and contribute technical input, and workers’ compensation technical information to CMS, in addition to tracking, capturing, and reporting metrics each month on activities.

Providers Resources Inc.’s primary services include solutions for program integrity, quality, education, conference planning and information technology. Their primary facility is located in Erie, PA with a subcontractor facility in Richmond, VA. In addition to CMS, Providers Resources Inc. has worked with a variety of governmental programs, such as the Office of Inspector General/United States Postal Service (OIG/USPS), the National Institutes of Health (NIH), and the Veteran’s Administration (VA).

We are hopeful that CMS will provide additional information regarding the transition of current cases as well as contact information for the new contractor in the very near future. PMSI will keep our clients advised of any and all new developments and announcements related to the transition.

To review a copy of the Notice of New Award click here.

For additional information on Providers Resources Inc. visit their website by clicking here.

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