10025 Governor Warfield Parkway, Suite 401, Columbia

Established in 1997, QSSI is a technology and security services company firmly focused on Health IT. Combining industry
knowledge and comprehensive IT expertise with a CMMI Maturity Level 3 management methodology, QSSI collaborates
with public sector and commercial organizations to maximize performance and create sustainable value for our customers.
Fraud Detection Solutions - To combat the growing concern that the Medicare Trust Fund may not be adequately protected against erroneous
payments through current administrative procedures, CMS tasked QSSI to conduct a demonstration to test the feasibility of pre-payment solutions,
automated edits, and predictive modeling as additional protective mechanisms for Medicare Program Payments. Automated Edit System (AES) is
intended to be a significant part of CMS efforts to streamline the Medicare claims review in order to reduce the number of inappropriate payments.
Enterprise Identity & Access Management Solutions - QSSI created a high quality, scalable, and secure identity management &
authentication enterprise service called Individuals Authorized Access to CMS Computer Systems (IACS). A critical component of the CMS IT
Modernization Initiative, IACS was created as the common security service to control the issuance of electronic identities that allow access to CMS
applications without regard to where an application is housed. It serves as the front-end authentication service for CMS applications and is one of
the largest and most complex Logical Access and Authorization Control Service (LAACS) implementation of Sun IAM suite in the Federal
Government. Through QSSI's close collaboration with Sun, IACS has shown to scale to millions of users.
Software Engineering & Testing Solutions - QSSI performs independent validation and performance testing of the Health Information
Technology for Economic and Clinical Health (HITECH) National Level Repository (NLR). The NLR collects information on all eligible providers and
hospitals, processes and delivers incentive payments, prevents duplicate payments, and coordinates technical assistance and reporting. In
addition, QSSI is the Single Testing Contractor (STC) at CMS for a portfolio of five key Medicare claims processing systems: Part A Institutional
claims; Part B Professional claims; Part B Durable Medical Equipment claims; Common Working File; and HIGLAS general ledger. We deliver
world-class technology-enabled solutions to support CMS’ mission to ensure effective, up-to-date healthcare coverage and promote quality care for
beneficiaries.
NHIN CONNECT Solutions - As one of CMS’ Health Information Handlers (HIH), QSSI enables Medicare Fee-For-Service (FFS) Review
Contractors and healthcare providers to exchange electronic medical documentation securely via the Nationwide Health Information Network
(NHIN) CONNECT-compatible gateways. We have adopted a 2-phase approach to exchange electronic medical documentation using the NHIN
CONNECT between Medicare FFS Review Contractors and healthcare providers. In Phase 1, Medicare Review Contractors will continue to send
paper requests to providers, and participating providers will then electronically submit supporting medical documentation via NHIN. In Phase 2, both
the request from the Medicare Review Contractors and responses from the providers will be electronic using the NHIN.
Web-Based Health Insurance Exchange Solutions - QSSI supports the Center for Consumer Information and Insurance Oversight
(CCIIO) in creating new marketplaces or “Exchanges” where individuals and small businesses can learn about health plans, compare prices, and
ultimately make selections. The Exchange requires robust information systems that can seamlessly compare and transmit data, offer a dynamic
user interface, and provide timely customer service. Starting in 2014, improved choices will be offered through Health Insurance Exchanges – new,
competitive, state-run and consumer-centered health insurance marketplaces. The Exchanges will make purchasing health insurance easier with
“one-stop-shopping” where consumers can compare and purchase health insurance coverage.
Enterprise Data Warehouse Solutions - QSSI developed, enhances, and maintains Medicare’s Integrated Data Repository (IDR). IDR is an
enterprise data warehouse built on the Teradata platform that integrates Medicare & Medicaid data to enable CMS and its partners access to data
from a single source. QSSI supported the creation of a CMS Dashboard, an award-winning effort by CMS to make Medicare datasets available to
the public and researchers over the internet. The Dashboard uses cutting-edge business intelligence tools and won the 2010 Government
Computer News Award. QSSI migrated a legacy system to a secure hosting facility and supported a nationwide rollout and expansion of the
Recovery Audit Program. The Recovery Audit Contractor Data Warehouse (RACDW) is the repository for all claims reviewed in the Recovery Audit
Program at CMS, as well as a critical CMS management tool for overseeing RAC activity, tracking collections, and reimbursements. The RACDW
is used by CMS to coordinate payment review activities, and is the principal means for the RACs to report improper payment
findings to CMS.
10025 Governor Warfield Parkway, Suite 401, Columbia, MD 21044
Phone 301.977.7884 | Fax 410.740.4281
For more information e-mail [email protected] or visit us on the web at www.qssinc.com
Health IT
Security & Privacy Services
Software Engineering
• NHIN CONNECT Solutions
• Identity & Access Management (IAM, IdM)
• Legacy Systems Migration
• Electronic Health Records (EHR)
• PACS/LAACS Solutions
• J2EE/.NET 3-tier Development
• Personal Health Records (PHR)
• Single Sign-On
• Data Architecture
• Revenue Cycle Management
• Smart Cards, HSPD-12, CAC
• Database Administration
• RAC Audit Management
• FISMA Compliance
• Data Warehousing
• Healthcare Program Management
• HIPAA Compliance
• Business Intelligence
Software Testing
Critical IT Infrastructure
Managed Business Solutions
• Independent Verification & Validation (IV&V)
• Secure Hosting
• Program Management Office (PMO)
• Independent Testing
• Electronic Data Exchange
• Call Center Management
• Full Lifecycle Testing
• Network Management
• Complete Training Solutions
• Performance-Based Testing
• Network Structure Evaluation
• Custom Courseware Development
• Security Test & Evaluation (ST&E)
• Network Architecture
• Beneficiary Outreach
• Certification & Accredidation (C&A)
• SharePoint Solutions
• Document Management Systems
QSSI supports the needs of the Government IT community through
the following GSA, GWACs, and IDIQs contract vehicles.
• GSA Schedule 70 SIN 132-51 & SIN 132-62
• GSA Alliant Small Business GWAC
• GSA STARS 8(a)
• HHS/CMS Enterprise Software Development IDIQ
• HHS/CMS Database/Data Admin IDIQ
• HHS/FDA ELMS IDIQ
• DoED/FSA EDSS SA-3 Testing Services IDIQ
10025 Governor Warfield Parkway, Suite 401, Columbia, MD 21044
Phone 301.977.7884 | Fax 410.740.4281
For more information e-mail [email protected] or visit us on the web at www.qssinc.com