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MB-3080 - USA (Maryland) - Medicaid Quality Assurance Analyst Services - Deadline May 22,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3080

Government Authority Located in Maryland; USA based organization looking for expert vendor for medicaid quality assurance analyst services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide medicaid quality assurance analyst services for Support compliance monitoring, identify strategies to insure compliance Support compliance monitoring, identify strategies to insure compliance,
- Analyze and identify service areas and providers with lower than average recovery of Medicaid revenue and assist with revenue maximization strategies,
- Provide technical guidance in areas including billing for new health related services, tracking of underreporting, and correcting denied claims,
- Monitor changes in recovery at the provider level, track compliance by local school system and local lead agency providers, support expansion of new Medicaid services, and prepare summary reports,
- Examine, analyze, and interpret monthly Medicaid payments to local school systems, local lead agencies, non-public schools and other providers of health-related services,
- Prepare discrepancy reports related to the Early and Periodic Screening, Diagnostic and Treatment benefit and the Children's Health Program,
- Review and analyze related medicaid reporting structures: medicaid compliance and data capturing systems, on-line individualized education program, special services information system, medicaid self–monitoring, and waiver tracking systems,
- Provide training and technical assistance as needed to Medicaid providers,
- Identify changes in software systems and collaborate with software contractor on revisions to programs used to achieve efficiency in the Quality Assurance Medicaid Monitoring Database,
- Analyzing medicaid waiver payments, policy, data, writing technical reports, training and providing technical assistance to local providers responsible for implementing a quality assurance system for medicaid services.
(2) A pre-proposal conference will be held on May 13, 2019.
(3) A contract term will be for one year.

[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 : Wednesday, 22 May, 2019

Pre-proposal Conference Date : Monday, 13 May, 2019

Category : Medical Billing and Coding

Country : USA

State : Maryland

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