“This system is critical for ensuring that eligible beneficiaries receive the services they need,” said Michael Edwards, Vice President of Federal Delivery.
Rockville, Maryland (PRWEB) October 17, 2012
The Centers for Medicare and Medicaid Services (CMS) recently selected TurningPoint Global Solutions to perform Requirements Redesign for the Health Insurance Portability and Accountability Act (HIPAA) Eligibility Transaction System.
The HIPAA Eligibility Transaction System (HETS) is a suite of applications that streamlines Medicare claims processing by quickly responding to authorized requests for beneficiary liability and eligibility information in a secure way that protects the privacy of beneficiaries. The system provides Medicare beneficiary eligibility information in a real-time environment. The primary users of these systems are:
- Institutions servicing beneficiaries in the Medicare Part A program,
- Individuals and institutions and organizations servicing beneficiaries in the Medicare Part B program,
- Third party entities acting on behalf of Fee For Service providers, including billing agents, network service vendors and EDI clearing houses, and
- Medicare Administrative Contractors.
TurningPoint is providing professional requirements engineering (including elicitation, development, documentation, and management of requirements) to enhance the system to provide heightened HETS visibility, robust monitoring capabilities, and geographic diversity. The enhancements will enable HETS the high availability to support the projected growth of the Medicare beneficiary network over the coming years.
“This system is critical for ensuring that eligible beneficiaries receive the services they need,” said Michael Edwards, Vice President of Federal Delivery. “Our ability to deliver accurate and timely requirements engineering products will be paramount in supporting HETS system enhancements.”
ABOUT TURNINGPOINT GLOBAL SOLUTIONS
Headquartered in Rockville, MD, TurningPoint is a CMMI Maturity Level 3 independently appraised software engineering professional services firm that serves a diversified group of commercial and government customers, enabling them to generate value from their IT investments. TurningPoint achieves these results through the successful planning, development, integration, and maintenance of IT solutions and by driving operational efficiencies into infrastructure operations. TurningPoint was named 2012 ‘Technology Firm of the Year’ by Tech Council of Maryland, and ranked 38 on the 2011 ‘Fast 50’ ranking of the 50 fastest growing small businesses in the Government Market by Washington Technology. For more information, visit http://www.tpgsi.com.