MB-4295 - USA (Texas) - Pre and Post Billing Coding Auditing Services - Deadline July 21,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4295

Government Authority located in Texas; USA based organization looking for expert vendor for pre and post billing coding auditing services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide pre and post billing coding auditing services.
• Respondent will perform a comprehensive review of medical records to ensure that the assigned codes are supported by proper documentation and are assigned based on current official coding guidelines and resources.
• Respondent will perform a comprehensive audit for inpatient accounts to include PDX, secondary code assignments, MCC and CC review, procedure code assignment, POA, DRG validation with and without queries, discharge disposition and query opportunities.
• Respondent will provide a comprehensive audit for outpatient accounts to include primary DX, secondary code assignment, admit DX, reason for visit codes, primary PX, secondary PXs, APC validation, modifiers and query opportunities.
• Respondent will perform documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements.
• Respondent will cooperate with agency in establishing necessary system access (EPIC, 3M) according to agency policies and procedures.
• Respondent will be responsible for providing all necessary office supplies, equipment, etc.
(2) All questions must be submitted no later than July 3, 2020.
(3) Contract term will be three years.

[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.

Expiry Date : Tuesday, 21 July, 2020

Question Answer Deadline : Friday, 3 July, 2020

Category : Medical Billing and Coding

Country : USA

State : Texas

Cost to Download This RFP Document : $ 5

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