MB-3235 - USA (Washington, DC) - RFI for Medical Review Services of Medicare Parts A and B Claims - Deadline July 2,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3235

Government Authority located in Washington, DC; USA based organization looking for expert vendor for medical review services of Medicare parts A and B claims.

[A] Budget: Looking for Proposal

[B] Scope of Service:

Vendor needs to provide medical review services of Medicare parts A and B claims.
- Conducts audits of Medicare Parts A and B services to help reduce fraud, waste and abuse, in this regard, our audits include hospitals, home health agencies and durable medical equipment suppliers, just to name a few, the contract for medical review services to assess whether the services were billed in accordance with Medicare requirements when needed,
- The core Tasks under the medical review contract include:
- Meetings: For new medical review, kick-off meetings will be necessary, which will occur prior to or early on in the medical review process,
- Medical review of claims: prior to the medical review, select the claims for review and collect the medical documentation, conduct a medical review of either a small subset of claims on a compressed timeframe and a large number of claims on an expanded timeframe, although the number of claims and timeframes as noted above may vary between medical reviews.
- Consultative services and follow- up medical review of claims: include assisting the in responding to auditee comments regarding a specific medical review, assessing new information for relevance to a previously conducted review, and completing a second medical review of claims when the provider under audit has submitted new information to the subsequent to completion of the initial medical review.

[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 : Tuesday, 2 July, 2019

Category : Medical Billing and Coding

Country : USA

State : District of Columbia

RFP Expired

You can either pay for Single RFP/Bid document or Subscribe with Monthly Subscription for whole Medical Billing and Coding Category/Categories.

If you will obtain monthly subscription for Medical Billing and Codingcategory/categories, you will be able to access all the RFPs from that Category. Here are the Monthly Subscription offers. So, subscribe for Monthly offers and get rid of Individual RFP payment.

*No commitment =
(1) There is no minimum commitment.
(2) You can subscribe for as less as 1 month and cancel it any time. If you subscribe for annual offer, you can cancel it any time within year.
(3) There is no partial refund policy after Monthly or Annual subscription. You will be required to use services for a Month (Or Year since you have availed discounted pricing).
(4) You can cancel your subscription any-time directly from your PayPal account to stop further recurring charges before next due date.
(5) You will be able to download all RFPs for subscribed Category or Location without any extra cost.

Similar RFPs