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MB-4259 - USA (Washington, DC) - RFI for Medical Record Review and Consultative Services - Deadline July 20,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4259

Government Authority located in Washington, DC; USA based organization looking for expert vendor for medical record review and consultative services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

Vendor needs to provide medical record review and consultative services to determine whether selected medical services and claims pertaining to beneficiaries of Medicare (and occasionally Medicaid) complied with coverage, coding, payment, and billing requirements and to provide medical consultative services to the OIG with respect to such services and claims.
- Medical review of claims and the supporting medical record documentation as part of the development of audits and other OIG activities, claim reviews require, at a minimum, the clinical evaluation of medical records and related documents to determine whether medicare claims were billed and paid in compliance with Medicare’s coding, coverage, billing and payment requirements, medical record is the systematic documentation of a single beneficiary's medical history and care across time, medical record review is the evaluation of the beneficiary's information and medical records to ensure that payment is made only for services that meet all medicare coverage, coding, and medical necessity requirements.

[C] Eligibility:

- Onshore (USA Organization Only);

[D] Work Performance:

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

[E] Proposal Submission:

Response should be submitted physically (courier or post).

Expiry Date : Monday, 20 July, 2020

Category : Medical Billing and Coding, Professional, Consulting, Administrative or Management Support Services

Country : USA

State : District of Columbia

Cost to Download This RFP Document : $ 5

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