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ACCT-7453 - USA (Bismarck, North Dakota) - RFI for Medical Bill Review Pre-Payment Audit Services - Deadline August 9,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: ACCT-7453

Government Authority located in Bismarck, North Dakota; USA based organization looking for expert vendor for medical bill review pre-payment audit services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide medical bill review pre-payment audit services to the government authority located in Bismarck, ND.
- Provide certain, prompt and reasonable income, as well as medical benefits, to workers sustaining occupational injuries or diseases, while ensuring the solvency of the fund
- Workforce safety and insurance bill audit department conduct a pre-payment audit of all medical bills
- The pre-payment audit workforce safety and insurance currently conducts requires verifying goods and services are related to the icd-10 diagnosis code and body part accepted on the compensable claim
- Medical documentation must accompany each bill and is reviewed during the pre-payment audit to include:
• Medical documentation substantiates the service or level of service billed
• Goods or services are accurately coded
• National coding standards and rules are followed
• Applicable fee schedules and pricing structure is correct
• Services provided meet professionally recognized standards and level of care
• Duplicate or redundant charges are not paid
• The most appropriate and cost-effective treatment utilized.
(2) All questions must be submitted no later than August 2, 2019.

[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 : Friday, 9 August, 2019

Question Answer Deadline : Friday, 2 August, 2019

Category : Auditing, Finance and Accounting, Medical Billing and Coding

Country : USA

State : North Dakota

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