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MB-3320 - USA (Texas) - Workers Compensation Medical Cost Containment Services - Deadline August 22,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3320

Government Authority located in Texas; USA based organization looking for expert vendor for workers compensation medical cost containment services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide workers’ compensation medical cost containment services to handle workers’ compensation claims and provide related services that are customer service oriented and understand that the employees are the most valuable asset of the health system.
- Cost containment services can be provided by either the TPA or by an independent organization.
- Health System requires medical cost containment services via the following Pre-authorization of specific treatments and services as required by TDI, Utilization review: prospective, concurrent and retrospective, coordinated physician peer review, Case Management, Hospital and medical bill audit and Identification of catastrophic illness or injury.
- Case management must be conducted within five business days of assignment. Documentation must be provided to both the claims administrator and to the Health System with 15 days of interview.
- All reports on Medical Bill Audit savings, Physician Peer Reviews, Rehabilitation Nurse interventions and Pre-certification procedures shall be made available to the Health System upon request. The Health System reserves the right to approve or appoint medical cost containment services of its choice.
(2) All question must be submitted no later than August 08, 2019.

[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 : Thursday, 22 August, 2019

Question Answer Deadline : Thursday, 8 August, 2019

Category : Medical Billing and Coding

Country : USA

State : Texas

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