Administrative Services (A-76)

Bland’s in-depth knowledge of Medicare reimbursement policies and long-standing relationship with the Centers for Medicare & Medicaid Services (CMS) led to an administrative services contract, which has been held since the early 2000s.

CMS has outsourced to us its day-to-day functions for Managed Care Organizations’ (MCOs’) cost report technical reviews, reimbursement analysis, focused audits, education and outreach, and assistance with policy setting.

Bland’s attention to the MCOs’ nuanced details allows CMS personnel to focus on the high-level oversight of the program, which results in an effective oversight strategy.

As a trusted partner and unbiased third party, Bland works directly with the MCOs throughout the year–from establishing initial payment rates through payment settlement.

Our work on this contract extends well beyond the technical reviews and puts us in a vital position of guidance and leadership. An important part of our work is educating the MCOs on preparing cost reports, policy impact, best practices, and correcting desk reviews and audit findings. We also support CMS and the Office of General Counsel in the cost report appeals process, which relieves burden on CMS personnel. Our comprehensive knowledge of claims data, statistical methods, and the impact of medical records reviews ensures CMS’ positions are sound. This knowledge is complemented by our meticulous supporting documentation and several quality control reviews by our highly experienced cost report team.

Your Lifeline for

Real Results.

“Over the last three years, Bland worked to meet the needs of our alternative payment model. The contractor provided deliverables in a timely manner. They innovated by coming up with unique strategies for screening practices to determine their risk level for our alternative payment model. Their extensive budget analyses for assessing practices’ use of CMS funds provided useful data for the auditing work stream and the model as a whole. Each year Bland’s strategic approach along with its subcontractor…came in under budget and exceeded our standards.”
– CMS Contracting Officer
“[The Bland team has] been very easy to work with…audits can vary a lot based on who the auditor is. Some making it more difficult than others. We have enjoyed working with your team and this has made the audit work go smoothly.”
– Vice President at Blue Cross Blue Shield
“I will truly miss working with all Bland auditors over the years. Many thanks to all. Every one of you have been incredibly professional, detailed, and pleasant to work with.”
– Pharmacy Benefit Manager Senior Audit Advisor
“CMMI was very complimentary to the…Bland compliance team. They appreciate the team’s high-quality work and flexibility and mentioned that the team is “exceptional” and great to work with.”
– Government Contractor Vice President
“It really was team effort. CMS could not have accomplished this without.. Bland’s hard work. And speaking for myself, it is amazing to see where we are now compared to where we were a year ago. I hope you all take pride in that change, because it was the hard work of all of you that got us here.”
– CMMI Model Team Lead
“This level of independence and thoughtful evaluation/assessment of what works best for moving the work forward is greatly appreciated by CMS.”
– CMS Director
“The Bland team has been very responsive to CMS urgent asks. They put together concise and structured background documents quickly and with very little direction.”
– CMS Contracting Office Representative
“…..Bland provided excellent, responsive customer service. We received no complaints from the over 150 practices that the contractor interacted with during the auditing process.”
– CMS Contracting Officer
“Thanks a lot, again my apologies for the last-minute request but I know that I can always count on Bland team.”
– CMS Monitoring Lead
“Over the last three years, Bland worked to meet the needs of our alternative payment model. The contractor provided deliverables in a timely manner. They innovated by coming up with unique strategies for screening practices to determine their risk level for our alternative payment model. Their extensive budget analyses for assessing practices’ use of CMS funds provided useful data for the auditing work stream and the model as a whole. Each year Bland’s strategic approach along with its subcontractor…came in under budget and exceeded our standards.”
– CMS Contracting Officer
“Payment and performance validation through compliance oversight and audits of model participants is a critical step in evaluating effectiveness of the … CMMI innovative payment and service delivery models. Bland has done a fabulous job in planning and executing a robust auditing support and program integrity services to help: – Greatly reduce participant burden – Align with the CMS goal to keep participant focus on patient care – Reduce the necessity of remedial actions – Improve compliance monitoring audit outcomes leading to model success – Enhance model participants’ overall compliance experience.”
– CMS Contracting Officer
“Thank you so much. You are simply the best and most responsive partner.”
– Accountable Care Organization Regional Coordinator
“Bland is constantly looking (to) enhance…monitoring…at the same time finding ways to reduce provider burden aby clearly communicating expectations, performing targeted outreach and education, clarifying and removing compliance ambiguities in the Participation Agreement (PA).”
– CMS Contracting Officer
“The contractor’s cost management is exceptional…All of the contractor’s work and products are always within budget and they helped the government develop a COVID-19 strategy that saved the government $1.8M.”
– CMS Contracting Officer
“Bland is the most accommodating contractor that I have ever worked with, moreover, the contractor has always been accommodating and flexible with the needs of the government.”
– CMS Contracting Officer