The company provides business processing services nationwide and employs more than 1,500 staff members throughout the U.S. NHS has served as a government claims contractor for Medicare since the federal program's inception in 1966. In July 2013, CMS released a Request for Information and solicited vendor comments regarding the possible requirements for combining Medicare and Medicaid program integrity functions. Noridian Healthcare Solutions, LLC (NHS), a wholly-owned subsidiary of Noridian Mutual Insurance Company, delivers innovative business solutions for government agencies to reduce cost and enhance value in the health care industry. In addition, Noridian supports claims processing for the Iowa Medicaid Program. 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. 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. 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. , Ma/PRNewswire/ CoventBridge ( USA ), Inc., the global leader in full-service investigations, announced that it was awarded a 5-year, 154 million, contract extension of its Unified Program Integrity Contractor (UPIC) Midwestern contract by CMS. “This is a direct reflection of the great work our staff does each day.” “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.

Staff supporting the SMRC contract are located in NHS’s Fargo headquarters and throughout the country.

To support the new contract, Noridian will be hiring approximately 300 individuals. FARGO, N.D., Ma(GLOBE NEWSWIRE) - Noridian Healthcare Solutions, LLC 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.

Upic cms award