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Common Electronic Data Interchange (CEDI) program has been appraised at Capability Maturity Model Integration (CMMI) Maturity Level 5

October 15, 2020

 

INDIANAPOLIS, IN - National Government Services announced its Common Electronic Data Interchange (CEDI) program has been appraised at Capability Maturity Model Integration (CMMI) Maturity Level 5 (the highest rating) by AgileDigm Incorporated. The Centers for Medicare & Medicaid Services (CMS) originally awarded the CEDI contract to National Government Services in 2007, and most recently re-awarded the business in 2017.

CMMI is a capability improvement framework that provides organizations with the essential elements of effective processes that ultimately improve their performance. An appraisal at maturity level 5 indicates that National Government Services’ CEDI program is performing at an “optimizing” level, meaning the program continually improves its processes based on a quantitative understanding of its business objectives and performance needs, and understands the variation inherent in the process and the causes of process outcomes.

National Government Services’ CEDI program provides the single, front-end environment for the processing of Health Insurance Portability & Accountability Act (HIPAA) electronic claims, remittance advice and claim status request/response transactions for the four Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs).

The CEDI program processes 80 million claims annually through their dedicated environment and help desk technicians support 6,000 trading partners, handling 27,000 calls per year. In addition, CEDI also provides environments and support for the DME MACs and Single Testing Contractor (STC) to conduct electronic data interchange (EDI) related testing. The CEDI program’s highly reliable EDI front-end environment ensures an efficient and reliable experience for DME suppliers in their exchange of HIPAA electronic transactions.

"National Government Services’ successful implementation and ongoing support of the CEDI contract reflects our commitment to providing strategic health information technology solutions and exceptional customer service to CMS," said National Government Services Chief Operating Officer Andrew Conn. "This CMMI Level 5 rating demonstrates the quality of our people and processes, and reaffirms the dedication we have to our valued government partners."


About CMMI Institute
CMMI Institute (CMMIinstitute.com) is the global leader in the advancement of best practices in people, process, and technology. CMMI Institute’s promise is to inspire cultures of continuous improvement that elevate performance and create sustainable competitive advantage.

CMMI Institute offers market-driven solutions that provide insights for baselining and optimizing key organizational capabilities, cybermaturity, and data assets to elevate business performance. For over 25 years, thousands of high-performing organizations in a variety of industries, including aerospace, finance, healthcare, information technology, software, defense, transportation, and telecommunications, have achieved sustainable business success through adopting the CMMI and proved they are capable business partners and suppliers.


About National Government Services, Inc.
For more than 50 years, National Government Services has been a trusted partner and innovative leader in federal health care contracting. Employing approximately 1,500 associates, National Government Services is committed to providing robust health information technology and administrative services. As a Medicare contractor for the Centers for Medicare & Medicaid Services (CMS), National Government Services processes more than 226 million Medicare claims and administers benefits of approximately $82 billion from the Medicare Trust Fund annually. Additional information about National Government Services is available at www.ngsservices.com.

Media contact
Tina Gaines
317-488-6051
christina.gaines@anthem.com

 

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