MB-3709 - USA (Hawaii) - Medical Record Billing Claims Audit Services - Deadline January 16,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3709

Government Authority located Hawaii; USA based organization looking for expert vendor for medical record billing claims audit services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide medical record billing claims audit services to service authorizations and claims payment process to
1. Conduct client chart reviews and focused clinician audits as assigned and supervised.
2. Review the selected charts and ascertain if progress notes are present for each service rendered and billed.
3. Conduct an entrance and exit briefing at each site visit with contracted agencies and individual providers.
A. Identify all qualified billings and total amounts.
B. Identify all non-qualified billings where there are no progress notes or sufficient
documentation of progress notes for each service rendered.
C. Provide a spreadsheet that includes the qualified and nonqualified billings by
each psychiatrist, psychologist, social worker, or other mental health workers
covered by this review
D. Assess and determine whether the client charts are kept and maintained
- Conduct focused clinician audits, as assigned
(2) All Questions must be submitted no later than January 6, 2020.
(3) A contract period 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 : Thursday, 16 January, 2020

Question Answer Deadline : Monday, 6 January, 2020

Category : Medical Billing and Coding

Country : USA

State : Hawaii

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