We are pleased to announce that NHA has been selected as the Provider Enrollment Operational Review Contractor (PE ORC) by the Centers for Medicare & Medicaid Services (CMS).
As the PE ORC, NHA will conduct an assessment related to provider enrollment processes for the CMS Center for Program Integrity with the goal of increasing efficiencies and reducing provider burden.
NHA has extensive experience assessing government programs and recommending structural and operational changes that have improved performance and efficiency while reducing costs. As the Program Integrity Operational Review Contractor under two separate contracts, NHA has reviewed CMS’s program integrity processes, including conducting field office site visits, employee interviews, data analysis and document reviews. At the end of the reviews, NHA provided CMS with a comprehensive set of recommendations that allowed CMS to implement best practices across its entire Medicare and Medicaid program integrity operations.
We look forward to continuing our program integrity work with this new opportunity.