SGS is a subsidiary of Hewlett-Packard Enterprise Services and performs data analysis, investigations and medical reviews to detect, prevent, deter and reduce fraud, waste and abuse.
The contract enlists the company as a zone program integrity contractor. Those contracts were established under the Medicare Modernization Act of 2003 requiring the CMS to implement measures for program integrity.
The CMS designated seven zones throughout the country, each with their own ZPIC contractor. As part of this new contract, SGS will oversees region 6, which includes Connecticut, Delaware, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont and Washington, D.C., according to the award notice.