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MB-2615 - USA (Tennessee) - Medical Bill Review Services - Deadline November 28,2018

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2615

Government Authority located in Tennessee; USA based organization looking for expert vendor for medical bill review services.

[A] Budget: Looking for proposal

[B] Scope of Service:

(1) Vendor needs to provide medical bill review services for workers’ compensation bill review or utilization review services for the county’s self-insured workers’ compensation program.
- Medical Bill Review and Repricing Services for scanning of all medical bills and reports into digital format or receive same in a digital format on a daily basis that will be entered into an interface with the county’s workers’ compensation claims management software application for accessing, processing, and storing, indexing of all medical bills and reports, requesting needed documents for incomplete bills from providers, verifying all billing CPT codes comply with actual treatment provided, reviewing appeals of medical bills from providers and making recommendations to county, assisting with testimony and/or other professional services on all medical bill issues on litigated cases including justification of payment and payment amount, up-coding or down-coding and any other required services related to this contract and requested county and providing on a monthly basis all scanned documents in PDF format only including medical bills and reports to County.
- Administrative Services shall following provide an electronic billing portal and/or solution to permit county’s compliance with e-billing portal or other resources pursuant to state rules and regulations 0800-2-26, interface with the county’s WC claims management information system software application for payment processing, transmit all digital bills and associated medical reports on a monthly basis, reimburse county for any/all penalties for which the county may be found liable as a result of the contractor’s failure to comply with regulatory timeframes as covered under state law, if any, relating to penalties associated with contractor’s failure to perform any bill review or reporting function timely, workers’ compensation division staff daily electronic access to all bill review and utilization review databases to review status of recommendations, associated medical reports and approval or denial of recommendations including payment of provider bills and UR billing.
(2) All question must be submitted no later than November 07, 2018.

[C] Eligibility:

Onshore (USA Only)

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office premises.

Expiry Date : Wednesday, 28 November, 2018

Question Answer Deadline : Wednesday, 7 November, 2018

Category : , Medical Billing and Coding, Data Entry, Scanning, Records and Document Related Services

Country : USA

State : Tennessee

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