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MB-2911 - USA (Maryland) - Drug Rebate Program Services - Deadline April 15,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2911

Government Authority located in Maryland; USA based organization looking for expert vendor for drug rebate program services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide drug rebate program services to process, invoice, resolve disputes and account for all Medicaid Fee-for-Service and Managed Care Drug Rebates and Supplemental Rebates on a quarterly basis according to CMS guidelines and required timelines.
The general service requirements provided by the Contractor shall include, but are not be limited to, the following:
- Collect and merge the utilization/encounter and claims data provided by AHCCCS with the Unit Rebate Amount (URA) provided by the Centers for Medicare and Medicaid Services.
- Identify and adjust outlier data.
- Audit claims/encounters and invoice data.
- Create rebate invoices in accordance with the CMS required format for the MDRP and as required and/or defined by AHCCCS for the AzSRP.
- Create cover letters for the appropriate billing period and rebate program.
- Mail rebate invoices with cover letters to drug manufacturers/labellers in accordance with CMS guidelines.
- Maintain copies of generated invoices by rebate program and by billing period.
- Forward payments/deposits received on behalf of AHCCCS to the AHCCCS Division of Business and Finance Department.
- Provide the invoice/reconciliation supporting documentation with each payment.
- Research invoices and link prior quarter adjustment (PQA) payment(s) to the original invoice.
- Reconcile deposits with accompanying documentation as required by CMS and/or AHCCCS.
- Track postmarks for:
- Invoice Mailings.
- Rebate payments.
- Timeline adherence of payments received.
- Late payments and interest owed and received.
- Provide application software to be used strictly for the purposes of accounting for pharmaceutical rebates for the MDRP and the AzSRP. The software application shall allow AHCCCS to view the following functions performed by the Contractor:
• Invoices Generated
• Receipt of Payments Log
• Allocation of Payments to Invoices
• Reconciliation Payments to Invoices
• Linkage of Prior Period Adjustments (PPAs) to corresponding invoice number(s)
• Calculations of Outstanding Balances
• Refund Overpayments of Invoice
• Research Disputes with Manufacturer/labeler
• Call Tracking of Phone Conversations with Manufacturer/labeler
• Required Data sent to CMS
(2) All questions must be submitted no later than March 11, 2019.
(3) Contract period will be for three years.

[C] Eligibility:

Onshore (USA Only)

[D] Work Performance:

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

Expiry Date : Monday, 15 April, 2019

Question Answer Deadline : Monday, 11 March, 2019

Category : Medical Billing and Coding, Software, System and Application

Country : USA

State : Maryland

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