Posted Date : February 12,2020
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : STFF-4004
Government Authority located in Austin, Texas, USA based organization looking for expert vendor for utilization review staffing services.
[A] Budget: Looking for Proposal
[B] Scope of Service:
Vendor needs to provide utilization review staffing services to the government authority located in Austin, TX.
- Staff are registered nurses and medical coders that conduct retrospective reviews
- The staff utilizes the information during medical record review of claims or encounters submitted for reimbursement by hospital providers
- Staff validate inpatient hospital diagnoses including diagnosis related group assignments and validate the accuracy of provider billing based on medical record documentation
- The codes are updated annually, and the unit has new staff that require initial training
- The training will be 2.5 days each, in two separate sessions, for approximately 60 staff members in groups of 25-30
- The reviews broadly consist of all types of inpatient Medicaid claims and encounters with emphasis on maternal, neonatal, behavioural health diagnoses, and procedures
[C] Eligibility:
- Onshore (USA Only);
[D] Work Performance:
Performance of the work will be onsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: February 27,2020
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
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Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : STFF-4004
Government Authority located in Austin, Texas, USA based organization looking for expert vendor for utilization review staffing services.
[A] Budget: Looking for Proposal
[B] Scope of Service:
Vendor needs to provide utilization review staffing services to the government authority located in Austin, TX.
- Staff are registered nurses and medical coders that conduct retrospective reviews
- The staff utilizes the information during medical record review of claims or encounters submitted for reimbursement by hospital providers
- Staff validate inpatient hospital diagnoses including diagnosis related group assignments and validate the accuracy of provider billing based on medical record documentation
- The codes are updated annually, and the unit has new staff that require initial training
- The training will be 2.5 days each, in two separate sessions, for approximately 60 staff members in groups of 25-30
- The reviews broadly consist of all types of inpatient Medicaid claims and encounters with emphasis on maternal, neonatal, behavioural health diagnoses, and procedures
[C] Eligibility:
- Onshore (USA Only);
[D] Work Performance:
Performance of the work will be onsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: February 27,2020
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$