Attachment F - Management Review Request Template.pdf

This document is a Management Review Request Template used to document the review of a specific case or episode of care. It includes fields to capture the case ID, patient name, event dates, practitioner being reviewed, the service/specialty, and whether the standard of care was met. There are sections for the reviewer to provide specific questions, a clinical summary, salient features of the case, analysis supporting the decision, and references. The template also requires the reviewer to provide an attestation that they are board certified, meet clinical qualification requirements, and have no conflict of interest.

The related federal contract opportunity is a solicitation from the Department of Veterans Affairs (VA) to establish multiple Blanket Purchase Agreements (BPAs) for external clinical review services under NAICS code 813920 and PSC R499. The VA is seeking contractors to provide peer review for quality management audits and facility request reviews, as well as management reviews, clinical appeals, medical advisory opinions, executive summaries, reports, and inter-rater reliability studies. The BPAs will have a period of performance of five years. Quotes are due by July 2, 2024, at 10:00 AM ET, and all questions must be submitted by June 11, 2024, at 10:00 AM ET.