Medical Record Review and Consultative Services (DRAFT)
Closed Pre-Solicitation Posted
Not the latest version. See the latest solicitation from .
- Solicitation number
- OIG260145
- Agency
-
Office of the General Counsel
Department of Health and Human Services
- Responses due
- Set-aside
- No set-aside
Opportunity facts
- NAICS code
- 541611 Administrative Management and General Management Consulting Services
- PSC
- R499 Support- Professional: Other
- Place of performance
- Washington DC 20201 USA
Notice details come from SAM.gov. Updated .
Notice text
2 versions
Update #2 · Latest ·
***THIS IS A DRAFT SOLICITATION***
***ALL DATES POSTED ARE TENTATIVE WITH FINAL DATES TO BE PROVIDED BY COB 17 JULY 2020***
***WHITE PAPERS ARE NOT DUE ON 20 JULY 2020***
The Office of Inspector General (OIG) will be hosting an Industry Day to pursue the acquisition of medical review (MR) and consultative services to assist the OIG in conducting its’ oversight responsibilities regarding the programs operated by the Department of Health and Human Services (HHS). The acquisition will primarily result in services that support the OIG’s auditing function and the production of audit reports. The resulting contract will include professional services to determine whether selected medical services and claims pertaining to beneficiaries of Medicare (and occasionally Medicaid) complied with coverage, coding, payment, and billing requirements and to provide medical consultative services to the OIG with respect to such services and claims. The acquisition is primarily to assess services and claims for Medicare fee-for-service payments for Part A and Part B. Other analyses on an infrequent basis may include assessment of services and claims for Medicaid or the Medicare Prescription Drug Plan (Part D). While individual reviews may comprise 100-200 claims, annual volume is expected to be 2,000-3,000 claims. In order to participate in the Industry Day event for this notice, please follow the dirctions in the documents labeled Medical Review Solicitation Number OIG260145, and OIG260145-SOO Medical Review.
Update #1 ·
The Office of Inspector General (OIG) will be hosting an Industry Day to pursue the acquisition of medical review (MR) and consultative services to assist the OIG in conducting its’ oversight responsibilities regarding the programs operated by the Department of Health and Human Services (HHS). The acquisition will primarily result in services that support the OIG’s auditing function and the production of audit reports. The resulting contract will include professional services to determine whether selected medical services and claims pertaining to beneficiaries of Medicare (and occasionally Medicaid) complied with coverage, coding, payment, and billing requirements and to provide medical consultative services to the OIG with respect to such services and claims. The acquisition is primarily to assess services and claims for Medicare fee-for-service payments for Part A and Part B. Other analyses on an infrequent basis may include assessment of services and claims for Medicaid or the Medicare Prescription Drug Plan (Part D). While individual reviews may comprise 100-200 claims, annual volume is expected to be 2,000-3,000 claims. In order to participate in the Industry Day event for this notice, please follow the dirctions in the documents labeled Medical Review Solicitation Number OIG260145, and OIG260145-SOO Medical Review.
Files
Notice history
| Notice | Type | Posted |
|---|---|---|
| RFP-OIG260145 Medical Record Review and Consultative Services (2nd Amendment) | Solicitation | |
| Medical Record Review and Consultative Services Sources Sought | Pre-Solicitation | |
| This notice | Pre-Solicitation |
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