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MB-5945 - USA (California) - Bill Review Services - Deadline January 14,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5945

Government authority located in California; USA based organization looking for expert vendor for bill review services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide bill review services which includes but is not limited to: manual data entry of bills, bill review and adjudication, and bill audit services to the government authority located in Westerly, RI.
- Contractor shall identify duplicate bills to ensure agency avoids duplicate payments to providers and applicants. Duplicate bills are bills for the same victim, with the same date of service and same procedure code.
- The Contractor shall apply the agency mental health provider rates, to mental health bills.
- Verify the mental health provider has a valid state license at the time the service was rendered.
- Contractor shall provide the cost for the medical services and medical equipment, using the appropriate fee schedules.
- Contractor shall conduct quality assurance review of all medical bills to determine whether the treatment, procedural codes and modifiers are consistent with accepted professional medical coding practices and procedures and provide a quarterly audit report.
- Contractor shall develop and implement a methodology and scope to conduct quarterly audits of the medicare fee schedule applied to medical billing forms to verify that the adjudicated rates are consistent with the medicare fee schedule in effect on the specific dates of service.
(2) All questions must be submitted no later than January 6, 2022.

[C] Eligibility:

- Onshore (US Organization Only);

[D] Work Performance:

Performance of the work will be Offsite.

Expiry Date : Friday, 14 January, 2022

Question Answer Deadline : Thursday, 6 January, 2022

Category : Medical Billing and Coding, Billing Services, Data Entry, Scanning, Records and Document Related Services

Country : USA

State : California

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